Tracy Funk, MD

NPI #1053536268 in Portland, Oregon

Provider Information

NPI Number: 1053536268
Entity Type: Individual
Name: Tracy Funk, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Apr 14, 2007
Last Updated: Jun 17, 2015

Practice Location

Address: 3303 SW BOND AVE # 16D
Address 2: OHSU DEPARTMENT OF DERMATOLOGY
City: Portland
State: Oregon
ZIP Code: 97239-4501
Phone: (503) 418-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Student in an Organized Health Care Education/Training Program	390200000X
Dermatology	207N00000X	Primary

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