Individual
MS. JOAN MAREE KNIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3644 SW TROY ST, SUITE 200, PORTLAND, OR 97219-1662
(503) 246-3193
Mailing address
5941 SW KARLA CT, PORTLAND, OR 97239-1185
(503) 246-3193
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11535
OR
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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