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MR. PHILLIP FUNDERBURK JR. SUDP
NPI 1790142230
Counselor - Addiction (Substance Use Disorder) in Everett, WA

Active since January 27, 2016
4301 HOYT AVE, EVERETT, WA 98203(877) 522-1275 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Phillip Funderburk Jr. Sudp NPPES

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

MR. PHILLIP FUNDERBURK JR. SUDP (NPI 1790142230) is an individual addiction (substance use disorder) provider in Everett, Washington, licensed in Washington (CP60691952) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1790142230
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. PHILLIP FUNDERBURK JR.Credential: SUDP
Location Address4301 HOYT AVEEverett, WA 98203-2316
Mailing Address1550 4th Ave SSeattle, WA 98134-1510
Phone(877) 522-1275
Sole ProprietorNo
Enumeration DateJanuary 27, 2016
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 20, 2023
✔ NPI 1790142230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60691952
4301 HOYT AVE, Everett, WA 98203
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Other Providers at the Same Location NPPES 14

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

MRS. IPEK MELISSA KARAFERYA DOLS ARNP
Nurse Practitioner
4301 HOYT AVE
EVERETT, WA 98203
Snohomish County (877) 522-1275
MR. ERIC FOX ARNP
Nurse Practitioner
4301 HOYT AVE
EVERETT, WA 98203
Snohomish County (877) 522-1275
FREDERICK J KIMBALL MD
Family Medicine
4301 HOYT AVE
EVERETT, WA 98203
Snohomish County (425) 317-8025
MRS. LISA LYNN DRISCOLL SUDP
Counselor (Addiction (Substance Use Disorder))
4301 HOYT AVE
EVERETT, WA 98203
Snohomish County (509) 209-8674
DR. RAJKA MILANOVIC GALBRAITH M.D.
Family Medicine
4301 HOYT AVE, WESTERN WASHINGTON MEDICAL GROUP
EVERETT, WA 98203
Snohomish County (425) 317-8025
KIMBERLY JOY SLICK SUDP
Counselor (Addiction (Substance Use Disorder))
4301 HOYT AVE
EVERETT, WA 98203
Snohomish County (877) 522-1275
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Clinical Medical Laboratory
4301 HOYT AVE, SUITE B
EVERETT, WA 98203
Snohomish County (425) 257-9997
BRITTANY LIANE ZOTO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4301 HOYT AVE
EVERETT, WA 98203
Snohomish County (877) 522-1275

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 Phillip Funderburk's NPI number?

The NPI number for Phillip Funderburk is 1790142230. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is Phillip Funderburk located?

Phillip Funderburk practices at 4301 Hoyt Ave, Everett, WA 98203. The listed phone number is (877) 522-1275.

What is Phillip Funderburk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phillip Funderburk was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.