Function Therapeutics LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

1069622 Issued in OR

Legal business name

FUNCTION THERAPEUTICS LLC

Practice address

7925 SE Stark St
Portland, OR 97215-2341

Phone

(503) 922-9895

NPI assigned

Jul 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hillary Ingrid Kibgis, OTR/L

Title

Owner

Phone

(503) 922-9895

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1881077204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86745",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97286",
            "telephone_number": "503-922-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152341",
            "telephone_number": "503-922-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTION THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "KIBGIS",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-922-9895",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OR",
            "license": "1069622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo Fultz, RN
• Saige Madison Fultz
• Trevor Funari
• Sara Funatake, AUD
• Terrell Funches, BEHAVIOR TECHNICIAN
• Functional Health Pain Management
• Alice W Fung, M.D.
• Caroline May-San Fung, P.A.
• Courtney Man-Yee Fung, CHW
• Hui-Ning Fung, M.D.

• Rehabilitation Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Rehabilitation Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.