Individual
DR. BART J KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1609 E BARNETT RD, MEDFORD, OR 97504
(541) 773-7246
(541) 773-1350
Mailing address
1609 E BARNETT RD, MEDFORD, OR 97504
(541) 773-7246
(541) 773-1350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
OR271842
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200600
—
OR
Enumeration date
08/11/2006
Last updated
07/08/2007
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