KNOTT STREET DERMATOLOGY PC

PORTLAND, OR
NPI1891741864
Entity TypeOrganization
Authorized ContactERIC LEIF HANSON
President
503-253-3910
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: OR  MD26393)
Enumeration Date2006-05-25
Last Update Date2014-08-13
Business Address
KNOTT STREET DERMATOLOGY PC
301 NE KNOTT ST
PORTLAND, OR 97212-3014
Phone number: 503-253-2675
Mailing Address
KNOTT STREET DERMATOLOGY PC
301 NE KNOTT ST
PORTLAND, OR 97212-3014
Phone number: 503-253-2675
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