Individual
MR. JOHN BURTMENT MCKNIGHT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
52482 SE 2ND ST, SCAPPOOSE, OR 97056-3615
(503) 543-2551
(503) 543-2382
Mailing address
52482 SE 2ND ST, SCAPPOOSE, OR 97056-3615
(503) 543-2551
(503) 543-2382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-11-70
OR
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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