Basic Information
Provider Information
NPI: 1205992310
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNOX
FirstName: FRANCES
MiddleName: MELINDA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 19020 33RD AVE W STE 210
Address2:  
City: LYNNWOOD
State: WA
PostalCode: 980364748
CountryCode: US
TelephoneNumber: 4255631500
FaxNumber: 4255631374
Practice Location
Address1: 916 PACIFIC AVE
Address2:  
City: EVERETT
State: WA
PostalCode: 982014147
CountryCode: US
TelephoneNumber: 4252612000
FaxNumber: 4254045497
Other Information
ProviderEnumerationDate: 01/01/2007
LastUpdateDate: 12/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XA104775CAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XMD60971033WAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
042698901WAL&I-EVERGREEN RADIAOTHER
042699301WAL&I-SOUTH SOUND RADIOLOGYOTHER
042699501WAL&I-SEATTLE RADIOLOGYOTHER
042699601WAL&I-VANCOUVER RADIOLOGYOTHER
215549305WA MEDICAID
042698301WAL&I-RADIA REST OF WAOTHER
042698501WAL&I-RADIA KING CTYOTHER
042698601WAL&I-SWEDISH RADIA EDMONDSOTHER


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