Knotts, Susan Diane

Knotts, Susan Diane is an sole proprietor health care provider with primary practice located at 27025 Trask River Road , Tillamook OR 97141-0433. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Knotts, Susan Diane can be contacted via phone (503) 842-7305.

Contact Information

Primary practice address
27025 Trask River Road Tillamook OR 97141-0433
Fax: (503) 842-0447
Website:

Profile Details

NPI number 1750493813
LBN Legal business name Knotts, Susan Diane
Credentials PT LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Sep 12th, 2008 - about 17 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 1750493813 NPPES
Oregon Other 838547001 BCBS
Oregon MEDICAID 182803 BCBS
Oregon Other 320438201 BCBS
Oregon Other 838546001 BCBS
Oregon Other 115OR00690 BCBS

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