Individual
MS. MARISSA JENNIE FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23528 SW MIDDLETON RD, SHERWOOD, OR 97140-8864
(201) 755-7070
Mailing address
28872 NW KEENON ST, NORTH PLAINS, OR 97133-7184
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
201509280RN
OR
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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