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KELLY T FUNK
NPI 1366749848
Adult Companion in Portland, OR

Active since February 18, 2011
2330 NE SISKIYOU ST, PORTLAND, OR 97212(503) 238-0769(503) 552-6208 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly T Funk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY T FUNK (NPI 1366749848) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1366749848
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameKELLY T FUNK
Location Address2330 NE SISKIYOU STPortland, OR 97212-2471
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769 · Fax (503) 552-6208
Phone(503) 238-0769
Fax(503) 552-6208
Sole ProprietorYes
Enumeration DateFebruary 18, 2011
✔ NPI 1366749848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
2330 NE SISKIYOU ST, Portland, OR 97212
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE KAY SCHONBACHLER RN
Registered Nurse (Psychiatric/Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
CASCADIA
Adult Companion
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
ALEIA LAVONNE COWAN RN
Registered Nurse (Psychiatric/Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
JAMES SHEPPARD BRUCE MCMINN RN
Registered Nurse (Psychiatric/Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
STALEY WOOD MIMS III QMHP MED
Adult Companion
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
BRIANT NIERSTEDT MA
Counselor (Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
MARGARET RIELLY R.N.
Registered Nurse (Psychiatric/Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
JONATHAN ARMAND SHAFE
Technician (Personal Care Attendant)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Funk's NPI number?

The NPI number for Kelly Funk is 1366749848. It was assigned to this individual provider in the NPPES registry on February 18, 2011.

Where is Kelly Funk located?

Kelly Funk practices at 2330 NE Siskiyou St, Portland, OR 97212. The listed phone number is (503) 238-0769.

What is Kelly Funk's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Kelly Funk was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.