-- TRACY FUNK -- MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1053536268- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3303 SW BOND AVE # 16D OHSU DEPARTMENT OF DERMATOLOGY, PORTLAND, OR, 972394501
- Phone
- (503) 418-3376
- Fax
- (503) 346-8106
Specialties & Taxonomies
Pediatrics
License: CO #47554
Student in an Organized Health Care Education/Training Program
License: CO #47554
Dermatology
Primary License: OR #173370
All Addresses
MAILING
3303 SW BOND AVE # 16D OHSU DEPARTMENT OF DERMATOLOGY
PORTLAND, OR, 972394501
LOCATION
3303 SW BOND AVE # 16D OHSU DEPARTMENT OF DERMATOLOGY
PORTLAND, OR, 972394501