Individual
MRS. TERRI KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9615 GRAND RONDE RD, GRAND RONDE, OR 97347-9712
(503) 879-2097
(503) 879-1644
Mailing address
405 BOYD LN, MONMOUTH, OR 97361-1611
(503) 838-1244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4318ATI
OR
Other
Enumeration date
09/01/2016
Last updated
06/07/2021
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