Brian Knight Do Llc

NPI 1386630010 - Neuromusculoskeletal Medicine & OMM - 204D00000X

NPI Details
NPI 1386630010
Enumeration Date 09/27/2005
Last Updated 07/14/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BRIAN GEORGE BRIAN
Position PHYSICIAN/RESIDENT
Phone (503) 489-1999
Fax (503) 489-2011
Practice Location
1217 NE BURNSIDE RD
SUITE 103
GRESHAM OR, 97030, US
Phone (503) 489-1999
Fax (503) 489-2011
Business Location
1217 NE BURNSIDE RD
SUITE 103
GRESHAM OR, 97030, US
Phone (503) 489-1999
Fax (503) 489-2011
Toxanomy
Taxonomy Code 204D00000X
License State Oregon
License Number DO21549
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According to our database, Brian Knight Do Llc NPI is 1386630010, taxonomy code is 204D00000X and license number is DO21549, license state is located at Oregon. Brian Knight Do Llc physically located at 1217 Ne Burnside Rd, Gresham OR, 97030. NPI Number 1033115704 has the healthcare provider type.

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1386630010 NPI number is provided on an as is basis without warranty of any kind. 1386630010 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Knight Do Llc are for informational purposes only.