Individual
STEPHANIE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1270 KOT NUM RD., WARM SPRINGS, OR 97761
(541) 553-1196
Mailing address
630 NW KINGWOOD AVE, UNIT 302, REDMOND, OR 97756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61167278
WA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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