Individual
GEOFFREY WADE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
506 MAIN ST, DALLAS, OR 97338-1915
(503) 851-2547
Mailing address
506 MAIN ST, DALLAS, OR 97338-1915
(503) 851-2547
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3613 ATI
OR
Other
Enumeration date
10/10/2012
Last updated
07/24/2024
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