Individual
KEVIN KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 MCCLAINE ST, SILVERTON, OR 97381-1921
(503) 873-8391
Mailing address
6024 SE ALDER HILL LOOP, MILWAUKIE, OR 97267-1832
(541) 908-1629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0018327
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0018327
OR
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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