Individual
GILLETTE KNIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2163 NW 2ND ST, MCMINNVILLE, OR 97128-9108
(503) 472-4197
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
05/06/2025
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