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Individual
KARL R KNUDSEN
Active
Individual
KARL R KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD27448
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD27448
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002635014
BLUE CROSS
OR
01
—
26220204497601A002
TRICARE
OR
05
—
274622
—
OR
01
—
891400000
BLUE CROSS OF OREGON
OR
01
—
93062096697601
TRICARE
OR
01
—
P00419800
RAIL ROAD MEDICARE
OR
01
—
P00478530
RAIL ROAD MEDICARE
OR
Enumeration date
10/05/2006
Last updated
11/05/2014
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