Tracy Funk
Pediatrician Dermatologist
3303 Sw Bond Ave # 16d Ohsu Department Of Dermatology
Portland
, Oregon 97239-4501
Tracy Funk
Pediatrician Dermatologist
3303 Sw Bond Ave # 16d Ohsu Department Of Dermatology
Portland
, Oregon 97239-4501
(503) 346-8106
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About
Features
Specialties
- Dermatologist
- Pediatrician
Languages spoken
- English
Location
First Address
- Tracy Funk
- 3303 Sw Bond Ave # 16d Ohsu Department Of Dermatology
- Portland, OR
- Zip : 97239-4501
- Fax : (503) 346-8106
- Phone : (503) 418-3376
Second Address
- Tracy Funk
- 3303 Sw Bond Ave # 16d Ohsu Department Of Dermatology
- Portland, OR
- Zip : 97239-4501
- Fax : (503) 346-8106
- Phone : (503) 418-3376
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FAQs
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What is Tracy Funk ’s gender?
Is Tracy Funk a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 173370 | OR |
| N | 208000000X | Pediatrician | 47554 | CO |
National Provider Identifier
| NPI | 1053536268 |
|---|---|
| Provider Name | Tracy Funk |
| First Address | Portland, OR 97239-4501 |
| Second Address | Portland, OR 97239-4501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2007 |
| Last Update Date | 17/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 82253862 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.