John Burtment McKnight III, CADCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

99-11-70 Issued in OR

Practice address

52482 SE 2ND St
Scappoose, OR 97056-3615

Phone

(503) 543-2551

Fax

(503) 543-2382

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1235329772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52482 SE 2ND ST",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563615",
            "telephone_number": "503-543-2551",
            "fax_number": "503-543-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52482 SE 2ND ST",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563615",
            "telephone_number": "503-543-2551",
            "fax_number": "503-543-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "JOHN",
        "middle_name": "BURTMENT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CADCII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "99-11-70",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Allen Lukinbeal, R PH
• The-Hoang Luu, RPH
• Sarah Mickenna Mann
• Kathleen A. Mask, RN
• Kathryn Maeve McGarry, FNP-C
• Melissa Perloff McLane, BCFNP
• Richard William Moberly II, MD
• Thomas Francis Moquin, CRNA
• David Mora Egurrola, DPT
• Northside Family Counseling, Inc

• All providers in Scappoose, OR
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.