Individual
PAIGE PFUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1122
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO169578
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2011
Last updated
11/03/2018
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