Individual
DR. GARRETT WAYNE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
405 BOYD LN, MONMOUTH, OR 97361-1611
(503) 838-1244
(503) 837-1047
Mailing address
506 MAIN ST, DALLAS, OR 97338
(503) 623-9233
(503) 837-1047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3399AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500641229
—
OR
Enumeration date
07/11/2011
Last updated
07/24/2024
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