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NPI Code Detail

MEDICARE: MELISSA ANNE KNIGHT M.A.

MEDICARE:   MELISSA ANNE KNIGHT  M.A.
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1750553319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANNE KNIGHT M.A.
Provider Business Mailing Address
First Line : 4965 SW 9TH CT
Second Line :
City : GRESHAM
State : OR
Zip : 97080-7347
Country : US
Telephone Number : 503-314-2167
Fax Number :
Provider Business Practice Location Address
First Line : 5100 SW MACADAM AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97239-6102
Country : US
Telephone Number : 503-244-5211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2008
Last Update Date : 11/05/2015

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Directions to “ MELISSA ANNE KNIGHT M.A.” Practice Location

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