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Individual

EKATERINA KNOWLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4033 TALBOT RD S STE 530, RENTON, WA 98055-5700
(425) 690-3433
(425) 690-9433
Mailing address
15209 141ST AVE SE, SNOHOMISH, WA 98290-6730
(360) 631-0576

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD00038128
WA
208600000X
Surgery Physician
54947
MN
208600000X
Surgery Physician
Primary
MD00038128
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8265233
WA
Enumeration date
07/08/2005
Last updated
04/13/2022
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