Individual
SHANNEN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1553 11TH ST, WEST LINN, OR 97068-4636
(503) 699-4160
(888) 240-6551
Mailing address
1553 11TH ST, WEST LINN, OR 97068-4636
(888) 223-2669
(888) 240-6551
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
8910
OR
Other
Enumeration date
11/07/2013
Last updated
08/23/2023
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