Provider Demographics
NPI:1184879629
Name:KNIGHT, JOHN (LMT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 SW CURRY ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-7401
Mailing Address - Country:US
Mailing Address - Phone:503-853-9889
Mailing Address - Fax:
Practice Address - Street 1:1126 SW CURRY ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-7401
Practice Address - Country:US
Practice Address - Phone:503-853-9889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15809172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist