Provider Demographics
NPI:1407263353
Name:KNIGHT, ELIZABETH PICKERING (NP-C)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:PICKERING
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 SE WOODSTOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-8199
Mailing Address - Country:US
Mailing Address - Phone:503-777-7281
Mailing Address - Fax:
Practice Address - Street 1:3203 SE WOODSTOCK BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-8199
Practice Address - Country:US
Practice Address - Phone:503-777-7281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5558363LF0000X
OR201809792NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily