Individual
DR. JAMES J KNACKSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
995 WILLAGILLESPIE RD STE 300C, EUGENE, OR 97401-2162
(541) 302-1420
(541) 485-7881
Mailing address
995 WILLAGILLESPIE RD STE 300C, EUGENE, OR 97401-2162
(541) 302-1420
(541) 485-7881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD14759
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180356
—
OR
Enumeration date
08/25/2006
Last updated
12/20/2010
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