NPI 1053536268

Tracy Funk, MD

Practitioner Dermatology Physician Portland, OR

Practice location

Address: 3303 SW Bond Ave # 16d Ohsu Department of Dermatology, Portland, OR 97239-4501
Phone: (503) 418-3376
Fax: (503) 346-8106

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 173370 (OR)

Other Dermatology providers in Oregon →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 47554 (CO)

Other Pediatrics providers in Oregon →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence 47554 (CO)

Other Student in an Organized Health Care Education/Training Program providers in Oregon →

Registry record

NPI: 1053536268
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2007
Record last updated: 17 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.