Individual provider · Type 1 NPI

Elizabeth Petruska Knapp, MS, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1427360346 Active

Practice location

3303 SW Bond Ave, Mail Code: CHH5E
Portland, OR 97239-4501

Call (503) 494-5421 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X157071 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1427360346

Elizabeth Petruska Knapp, MS, PA-C's National Provider Identifier is 1427360346, issued on Jul 8, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jun 5, 2012.