Individual
DIANE T KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
924 SE HARNEY ST, PORTLAND, OR 97202-6927
(503) 956-0884
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002478
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235877
—
CT
Enumeration date
03/07/2006
Last updated
03/22/2011
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