Individual
DEREK SCOTT KNOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2002
(503) 879-2071
Mailing address
9605 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2239
(503) 879-2071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10021520
OR
363L00000X
Nurse Practitioner
Primary
APN.0999088-NP
CO
Other
Enumeration date
03/01/2024
Last updated
02/13/2026
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