Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maryann Funk, PTA

Individual provider Physical Therapy Assistant · NPI 1962693549

Maryann Funk, PTA is a Physical Therapy Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5601 SE 122nd Ave
Portland, OR 97236-4601
Phone: (503) 761-3181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7182 (OR)

Record details

NPI number1962693549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESAugust 7, 2007
Mailing address12650 Sw Grant Ave Apt 4, Tigard, OR 97223-5158

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