Individual
KATHRYN KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PCS, DCS
Contact information
Practice address
9155 SW BARNES RD, PORTLAND, OR 97225-6625
(503) 216-0278
Mailing address
9155 SW BARNES RD, PORTLAND, OR 97225-6625
(503) 216-0278
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3333
OR
Other
Enumeration date
08/11/2016
Last updated
09/28/2020
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