Individual
MR. MYLES KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
311 B AVE STE S, LAKE OSWEGO, OR 97034-3071
(503) 804-7579
(503) 210-0364
Mailing address
311 B AVE STE S, LAKE OSWEGO, OR 97034-3071
(503) 804-7579
(503) 210-0364
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP198427
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
10/03/2015
Last updated
11/05/2021
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