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MICHELLE LYNN FUNDERBURG BSN, RN
NPI 1407690944
Registered Nurse - Administrator in Tigard, OR

Active since June 20, 2024
7632 SW DURHAM RD STE 105, TIGARD, OR 97224(208) 520-8839 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Michelle Lynn Funderburg Bsn, Rn NPPES

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

MICHELLE LYNN FUNDERBURG BSN, RN (NPI 1407690944) is an individual administrator provider in Tigard, Oregon, licensed in Idaho (45697) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1407690944
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMICHELLE LYNN FUNDERBURGCredential: BSN, RN
Location Address7632 SW DURHAM RD STE 105Tigard, OR 97224-7597
Mailing Address9593 W Montebello DrBoise, ID 83709-6692 · (208) 520-8839
Phone(208) 520-8839
Sole ProprietorYes
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1407690944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in ID · 45697
7632 SW DURHAM RD STE 105, Tigard, OR 97224
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Other Providers at the Same Location NPPES 2

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

MS. STEPHANIE TAYLAN GOSSELIN RN
Registered Nurse (Home Health)
7632 SW DURHAM RD STE 105
TIGARD, OR 97224
Washington County (503) 828-2457
NP2U, LLC
Clinic/Center (Primary Care)
7632 SW DURHAM RD STE 105
TIGARD, OR 97224
Washington County (844) 744-2200

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 Michelle Funderburg's NPI number?

The NPI number for Michelle Funderburg is 1407690944. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Michelle Funderburg located?

Michelle Funderburg practices at 7632 SW Durham Rd Ste 105, Tigard, OR 97224. The listed phone number is (208) 520-8839.

What is Michelle Funderburg's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Michelle Funderburg was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.