Organization
BEAVERTON WEIGHT LOSS & FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD KNAUS N.P. (OWNER)
(503) 330-7025
Entity
Organization
Contact information
Practice address
13292 SW 161ST PL, TIGARD, OR 97223-2677
(503) 330-7025
Mailing address
13292 SW 161ST PL, TIGARD, OR 97223-2677
(503) 330-7025
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
99007644
OR
Other
Enumeration date
05/17/2007
Last updated
06/22/2010
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