Individual
THOMAS B KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE STE 500, PORTLAND, OR 97210-2976
(503) 413-5725
Mailing address
1130 NW 22ND AVE STE 500, PORTLAND, OR 97210-2976
(503) 413-5725
(503) 413-5726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD198666
OR
208600000X
Surgery Physician
Primary
MD60946286
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114337466
—
WA
Enumeration date
05/07/2014
Last updated
08/27/2020
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