MEDICARE: MICHAEL E KNOWER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD 15601	OR
2	207Q00000X	Family Medicine Physician	M 5124	ID
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	15601	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	113411909	OTHER	OR	NPI

General Provider Information

NPI Number	:	1134111909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL E KNOWER MD

Provider Business Mailing Address
First Line	:	2275 NE DOCTORS DR
Second Line	:	SUITE 3
City	:	BEND
State	:	OR
Zip	:	97701-6324
Country	:	US
Telephone Number	:	541-706-6700
Fax Number	:	541-706-5996

Provider Business Practice Location Address
First Line	:	2275 NE DOCTORS DR
Second Line	:	SUITE 3
City	:	BEND
State	:	OR
Zip	:	97701-6324
Country	:	US
Telephone Number	:	541-706-6700
Fax Number	:	541-706-5996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	10/15/2015

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Directions to “ MICHAEL E KNOWER MD” Practice Location

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