Individual
MEGAN KNICKERBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 NE ALOCLEK DR, HILLSBORO, OR 97124-7521
(503) 716-7896
Mailing address
5825 NE RAY CIR, HILLSBORO, OR 97124-6436
(503) 716-7896
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
200342053RN
OR
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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