Individual
TODD KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1390 WAVERLY DR SE, ALBANY, OR 97322-6958
(541) 967-8385
(503) 362-8435
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD23433
OR
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD23433
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287409
—
OR
Enumeration date
01/04/2006
Last updated
07/21/2022
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