Individual ProviderIan J KnightonCounselorBehavioral Health & Social Service ProvidersPractice Address2502 E Forth Plains, Vancouver, WA 98661(360) 831-0904(503) 325-5722PECOS EnrollmentBased on the most recent information from CMS, provider Ian J Knighton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1487127999Provider TypeIndividualFull NameKnighton, Ian JGenderMaleSole ProprietorNoEnumeration Date1/7/2019Last Updated7/18/2022Contact InformationPractice LocationPractice Address2502 E Forth Plains, Vancouver, WA 98661Phone(360) 831-0904FaxUnlisted FaxMailing LocationMailing Address65 N Highway 101 Ste 204, Warrenton, OR 97146-9371Phone(503) 325-5722Fax(503) 861-2043Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer