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John R. Knudsen, MD
General Practice Physician in Ferndale, Washington
NPI 1508952060

John R. Knudsen is a General Practice Physician based in Bellingham, WA. John R. Knudsen practices in Ferndale, WA and has the professional credentials of MD. The NPI Number for John R. Knudsen is 1508952060 and holds a License No. MD00013215 (Washington).

The current practice location address for John R. Knudsen is 6046 Portal Way, Ferndale, WA and can be reached out via phone at 360-734-2330 and via fax at 360-733-3886.

Location: 6046 Portal Way, Ferndale, WA, 98226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508952060
Provider Name
John R. Knudsen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6046 Portal Way, Ferndale, WA, 98226
Phone Number
360-734-2330
Fax Number
360-733-3886
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1466705 05 WA
50D0856491 01 WA CLIA
5824KN 01 WA REG RYDER
151150 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
6046 Portal Way
City
Ferndale
State
Washington
Zip
98248-7829
Phone Number
360-734-2330
Fax Number
360-733-3886
person
Provider Business Mailing Address Details
Address
6046 Portal Way
City
Ferndale
State
Washington
Zip
98248-7829
Phone Number
360-734-2330
Fax Number
360-733-3886
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
MD00013215 (Washington)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD00013215 (Washington)
Definition
Definition to come...
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