Knight Psychotherapy Llc | |
132 E Broadway Ste 415 Eugene OR 97401-3155 | |
(541) 579-8760 | |
(541) 530-3053 |
Full Name | Knight Psychotherapy Llc |
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Speciality | Social Worker |
Location | 132 E Broadway Ste 415, Eugene, Oregon |
Authorized Official Name and Position | Zachary Knight (OWNER) |
Authorized Official Contact | 5415798760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Knight Psychotherapy Llc 132 E Broadway Ste 415 Eugene OR 97401-3155 Ph: (541) 579-8760 | Knight Psychotherapy Llc 132 E Broadway Ste 415 Eugene OR 97401-3155 Ph: (541) 579-8760 |
NPI Number | 1689363897 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 05/03/2023 |
Certification Date | 05/03/2023 |
Medicare PECOS PAC ID | 5799143038 |
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Medicare Enrollment ID | O20230620000965 |
Identifier | Type | State | Issuer |
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1689363897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Zachary Bennett Knight |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548753916 PECOS PAC ID: 8426416751 Enrollment ID: I20230620000906 |
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