Individual
OLIVIA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 SW FIR LOOP, PORTLAND, OR 97223-8021
(208) 297-1405
Mailing address
7140 SW FIR LOOP, PORTLAND, OR 97223-8021
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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