Funk, Mira
Funk, Mira is an individual health care provider with primary practice located at 4842 Sw Aster St , Corvallis OR 97333-1364. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Funk, Mira can be contacted via phone (541) 224-8210.Contact Information
Primary practice address
4842 Sw Aster St
Corvallis OR 97333-1364
Phone: (541) 224-8210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1932658283 |
|---|---|
| LBN Legal business name | Funk, Mira |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2016 |
| Last updated | Feb 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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