MIRA FUNK

CORVALLIS, OR
NPI1932658283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2016-09-28
Last Update Date2024-02-23
Business Address
MIRA FUNK
4842 SW ASTER ST
CORVALLIS, OR 97333-1364
Phone number: 541-224-8210
Mailing Address
MIRA FUNK
4842 SW ASTER ST
CORVALLIS, OR 97333-1364
Phone number: 617-852-8749