Individual
ANDREW KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT COMT CSCS
Contact information
Practice address
450 NW GREENWOOD AVENUE, REDMOND, OR 97756-1550
(541) 923-0410
(541) 923-7393
Mailing address
450 NW GREENWOOD AVENUE, REDMOND, OR 97756-1550
(541) 923-0410
(541) 923-7393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3633
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0417432
US DEPT L&I
OR
05
—
230558
—
OR
01
—
J286802
PACIFICSOURCE
OR
Enumeration date
10/24/2006
Last updated
07/26/2007
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