Individual provider · Type 1 NPI
Michelle Lynn Funderburg, BSN, RN
Administrator Registered Nurse · Tigard, OR
NPI number
1407690944
Active
Practice location
7632 SW Durham Rd Ste 105
Tigard, OR 97224-7597
Mailing address
9593 W Montebello Dr
Boise, ID 83709-6692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 45697 (ID) |
Administrator Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1407690944
Michelle Lynn Funderburg, BSN, RN's National Provider Identifier is 1407690944, issued on Jun 20, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Tigard, OR. The record was last updated on Jun 20, 2024.