Individual
RHONDA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Mailing address
1890 WAITE ST STE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
091000250RN
OR
163W00000X
Registered Nurse
RN00107743
WA
363LF0000X
Family Nurse Practitioner
Primary
200950049NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619915113
CLINIC GROUP NPI
OR
05
—
213342
—
OR
01
—
R120353
WATERFALL CLINIC PTAN
—
01
—
R147172
PTAN - PROVIDER
—
Enumeration date
12/03/2007
Last updated
03/07/2023
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