Individual
MONTA CLIFTON KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 NE 24TH AVE, PORTLAND, OR 97232-2222
(503) 228-9229
(503) 228-9558
Mailing address
2438 NW FARGO ST, CAMAS, WA 98607-9356
(503) 278-6719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/17/2011
Last updated
01/21/2015
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