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Individual

SAGE FANUCCHI-FUNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2999 REGENT ST STE 524, BERKELEY, CA 94705-2120
(510) 495-0310
(510) 244-0446
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(707) 599-1533
(503) 494-8211

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM236401
CA
367A00000X
Advanced Practice Midwife
Primary
390200000X
Student in an Organized Health Care Education/Training Program
202010801RN
OR

Other

Enumeration date
08/08/2021
Last updated
03/06/2026
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