Individual provider · Type 1 NPI

Derek Scott Knoke, FNP

Nurse Practitioner · Grand Ronde, OR

NPI number 1811754351 Active

Practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Fax (503) 879-2071

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10021520 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811754351

Derek Scott Knoke, FNP's National Provider Identifier is 1811754351, issued on Mar 1, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Ronde, OR. The record was last updated on Feb 13, 2026.