Individual
KIMBERLY ANN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACOM, LAC
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 200-7579
Mailing address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 395-8261
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01163
OR
Other
Enumeration date
01/24/2008
Last updated
02/22/2010
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