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General NPI Number Information
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NPI Number | 1316272875
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Entity Type | Individual
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Provider Name | JOSHUA KNIGHT
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Gender | Male
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 1626 E HARTSON AVE
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City | SPOKANE
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State | WA
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Zip | 99202-3342
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Country | US
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Telephone | 206-240-0229
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10768
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City | PORTLAND
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State | OR
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Zip | 97296-0768
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Country | US
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Telephone | 503-575-2521
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Fax | 503-454-0166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD153869
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License Number State | OR
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