Individual
ROSEANN KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
405 BOYD LN, MONMOUTH, OR 97361-1611
(503) 838-1244
(503) 837-1047
Mailing address
506 MAIN ST, DALLAS, OR 97338-1915
(503) 623-9233
(503) 623-9233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1548AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290312
—
OR
Enumeration date
01/08/2007
Last updated
12/12/2023
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