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NPI Profile for MICHELLE L FUNDERBURG in TIGARD, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1407690944 |
|
| Status | Active | |
| Credentials | BSN, RN | |
| Entity | Individual | |
| Enumeration date | 06/20/2024 | |
| Last updated | 06/20/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHELLE L FUNDERBURG
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MICHELLE L FUNDERBURG, BSN, RN