National Provider Identifier Database

MICHELLE L FUNDERBURG, BSN, RN – NPI #1407690944
Administrator


Contact Information

MICHELLE L FUNDERBURG, BSN, RN
7632 SW DURHAM RD STE 105
TIGARD, OR97224-7597
Phone: 208-520-8839
Fax:
Website:
Specialty Taxonomy Code
* Administrator 163WA2000X

* Indicates primary specialty

NPI Profile & details for MICHELLE L FUNDERBURG

NPI Number 1407690944
Credentials BSN, RN
Entity Individual
Enumeration date 06/20/2024
Last updated 06/20/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • ID License #: 45697
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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