Knudsen, John R.

Knudsen, John R. is an individual health care provider with primary practice located at 6046 Portal Way Ste 103, Ferndale WA 98248-7829. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Knudsen, John R. can be contacted via phone (360) 734-2330.

Contact Information

Primary practice address
6046 Portal Way Ste 103 Ferndale WA 98248-7829
Phone: (360) 734-2330
Fax: (360) 733-3886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00013215 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00013215 Washington

Profile Details

NPI number 1508952060
LBN Legal business name Knudsen, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 7th, 2023 - about last year

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 1508952060 NPPES
Washington MEDICAID 1466705
Washington Other 50D0856491
Washington Other 5824KN
Washington Other 151150

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