Individual
CYNTHIA ACKERMAN KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 SW 39TH ST STE 150, RENTON, WA 98057-4912
(425) 690-3483
(425) 690-9083
Mailing address
660 SW 39TH ST STE 150, RENTON, WA 98057-4912
(425) 690-3483
(425) 690-9083
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
20368
AZ
207N00000X
Dermatology Physician
Primary
MD60661694
WA
207ND0101X
MOHS-Micrographic Surgery Physician
20368
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
MD60661694
WA
207NS0135X
Procedural Dermatology Physician
20368
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070010620
RR MEDICARE
AZ
05
—
2074044
—
WA
05
—
395021
—
AZ
01
—
G8983904
MEDICARE
WA
Enumeration date
07/17/2006
Last updated
09/05/2023
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