Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | M 5124 | ID |
N | 207Q00000X | Family Doctor | MD 15601 | OR |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 15601 | OR |
NPI | 1134111909 |
---|---|
Provider Name | Michael E Knower |
First Address | Bend, OR 97701-6324 |
Second Address | Bend, OR 97701-6324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 15/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113411909 | NPI (01) | OR |
218722 | (05) | OR |