Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 10177867 | OR |
NPI | 1134672256 |
---|---|
Provider Name | Megan Knox |
First Address | Klamath Falls, OR 97601-2636 |
Second Address | Klamath Falls, OR 97601-2636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2016 |
Last Update Date | 25/07/2016 |