Individual
DR. ALLEN GREGORY KNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5331 SW MACADAM AVENUE, SUITE 307, PORTLAND, OR 97239-3859
(503) 226-8010
(503) 210-0338
Mailing address
5331 SW MACADAM AVENUE, SUITE 307, PORTLAND, OR 97239-3859
(503) 226-8010
(503) 210-0338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2969
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000800000
BCBS NUMBER
OR
05
—
080254
—
OR
01
—
60016070
TAT NUMBER
OR
Enumeration date
10/03/2006
Last updated
01/27/2012
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