Individual
KEITH ALAN KNITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT, RPFT, RPSGT
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD STE P3PULM, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 402-2875
Mailing address
3710 SW US VETERANS HOSPITAL RD STE P3PULM, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 402-2875
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
305503
OR
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
305503
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305503
OREGON HEALTH LICENSE
OR
Enumeration date
12/12/2017
Last updated
12/12/2017
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