Provider Demographics
NPI:1740400266
Name:KNOPF, NATHAN (LMP)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:KNOPF
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 MAIN ST # 189
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6108
Mailing Address - Country:US
Mailing Address - Phone:425-455-8273
Mailing Address - Fax:425-484-2122
Practice Address - Street 1:2025 112TH AVE NE BLDG 2
Practice Address - Street 2:SUITE 300
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2943
Practice Address - Country:US
Practice Address - Phone:425-455-8273
Practice Address - Fax:425-484-2122
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00007651174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist