Knittle, Keith Alan

Knittle, Keith Alan is an sole proprietor health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd Ste P3Pulm , Portland OR 97239-2964. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered is his primary health care specialty. Knittle, Keith Alan can be contacted via phone (503) 220-8262.

Contact Information

Primary practice address
3710 Sw Us Veterans Hospital Rd Ste P3Pulm Portland OR 97239-2964
Fax: (503) 402-2875
Website:

Profile Details

NPI number 1750896809
LBN Legal business name Knittle, Keith Alan
Credentials RRT, RPFT, RPSGT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2017
Last updated Dec 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750896809 NPPES
Oregon Other 305503 OREGON HEALTH LICENSE

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