Individual
DESTINY KNOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1245 NW 4TH ST STE 201, REDMOND, OR 97756-1680
(541) 323-4545
Mailing address
1245 NW 4TH ST STE 201, REDMOND, OR 97756-1680
(541) 323-4545
(541) 323-4546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201900883NP-PP
OR
Other
Enumeration date
05/07/2019
Last updated
09/20/2023
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