Active NPI
Funkxn LLC
- Physical Medicine & Rehabilitation Physician
- Portland, OR
National Provider Identifier
1023998176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- FUNKXN LLC
- Practice address
- 710 NE Holladay St Ste 150
Portland, OR 97232-2168 - Phone
- (503) 542-2744
- Fax
- (877) 773-0291
- NPI assigned
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leo Donlea
- Title
- General Manager
- Phone
- (206) 963-3589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
710 NE Holladay St Ste 150
Portland, OR 97232-2168
Mailing address
710 NE Holladay St Ste 150
Portland, OR 97232-2168
Phone (503) 542-2744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
710 NE Holladay St
Ste 150
Portland, OR 97232
Phone (503) 542-2744
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Portland, OR
- NPI 1770101776
-
- Physical Therapist
- Portland, OR
- NPI 1265955371
-
- Physical Therapist
- Portland, OR
- NPI 1093957508
-
- Physical Therapist
- Clackamas, OR
- NPI 1063073609
-
- Physical Medicine & Rehabilitation Physician
- Vancouver, WA
- NPI 1285670992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1023998176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 NE HOLLADAY ST STE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322168",
"telephone_number": "503-542-2744",
"fax_number": "877-773-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NE HOLLADAY ST STE 150",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322168",
"telephone_number": "503-542-2744",
"fax_number": "877-773-0291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNKXN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "DONLEA",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "206-963-3589"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.