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Individual

KRISTIE M KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1939 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470-3573
(541) 957-5646
Mailing address
1939 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470-3573
(541) 957-5646

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171M00000X
Case Manager/Care Coordinator
Primary
24-QMHA-I-004315
OR

Other

Enumeration date
04/05/2022
Last updated
09/29/2025
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