| Sara Funatake, AUD | |
|
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
| (503) 494-5171 | |
| (503) 494-4631 |
| Full Name | Sara Funatake |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144678814 | NPI | - | NPPES |
| 030852 | Other | OR | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 030852 (Oregon) | Primary |
| Provider Name | Oregon Health & Science University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609824010 PECOS PAC ID: 4284542945 Enrollment ID: O20040121000929 |
| Provider Name | University Professional Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Funatake, AUD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-5171 | Sara Funatake, AUD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-5171 |
Haley Anna Szabo, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-5171 | |
Cynthia Herzog, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 921 Nw 18th Ave, Portland, OR 97209 Phone: 503-227-3666 | |
Allison M. Connolly, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 Phone: 503-216-2339 | |
Maritza Zaldivar-lima, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 Phone: 503-216-2339 | |
Michele Samantha Lewis, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Mrs. Christina Marie Adams, AUD, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3502 Ne Broadway St, Portland, OR 97232 Phone: 503-284-1906 Fax: 503-546-0894 | |
Dustin Ooley, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 833 Ne 74th Ave, Portland, OR 97213 Phone: 503-916-5570 |