Most Relevant Information
Provider Data
| NPI Number: | 1003203993 |
| Provider Name: | PATRICIA FUNK DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2015 |
| Last Updated: | 08/06/2018 |
Provider Practice Location
2800 N VANCOUVER AVE
SUITE 230
PORTLAND
OR
97227
Practice Location Phone/Fax
| Phone: | 5034134340 |
| Fax: |
Provider Mailing Location
2800 N VANCOUVER AVE
SUITE 230
PORTLAND
OR
972271630
Provider Mailing Phone/Fax
| Phone: | 5034134340 |
| Fax: |