Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD177568 | OR |
NPI | 1003159757 |
---|---|
Provider Name | Megan Furnari |
First Address | Portland, OR 97239 |
Second Address | Portland, OR 97239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 07/06/2016 |