Healthcare Provider Details

I. General information

NPI: 1346410800
Provider Name (Legal Business Name): ALLEN KNECHT, DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2008
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5331 SW MACADAM AVENUE SUITE 307
PORTLAND OR
97239-3859
US

IV. Provider business mailing address

5331 SW MACADAM AVENUE SUITE 307
PORTLAND OR
97239-3859
US

V. Phone/Fax

Practice location:
  • Phone: 503-226-8010
  • Fax: 503-210-0338
Mailing address:
  • Phone: 503-226-8010
  • Fax: 503-210-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number272969
License Number StateOR

VIII. Authorized Official

Name: DR. ALLEN G KNECHT
Title or Position: OWNER
Credential: D.C.
Phone: 503-226-8010