Pending Account Requests

First Name: Julie
Last Name: Funk
Email: julieannefunk@gmail.com
Ordering Department Name: EVERETT MEDICAL CENTER
National Practicioner ID#: 16696198970
National User ID: T498489
Street Address: 2929 pine street
ZIP Code: 98203
Office Phone: 425-5023425
Status: Pending
Request Submitted: July 9, 2025 at 3:22 pm