Individual
MISS TERRI A KNUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 HEWITT AVENUE, EVERETT, WA 98201-3821
(425) 259-0144
(425) 339-6024
Mailing address
2909 HEWITT AVENUE, EVERETT, WA 98201-3821
(425) 259-0144
(425) 339-6024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08933
L&I
WA
01
—
9015413
MEDICAID
WA
05
—
9186107
—
WA
Enumeration date
12/13/2006
Last updated
02/24/2009
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