Individual
MR. DAVE N. KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CADC I
Contact information
Practice address
1820 SW VERMONT ST, SUITE J, PORTLAND, OR 97219-1945
(503) 720-5293
Mailing address
1820 SW VERMONT ST, SUITE J, PORTLAND, OR 97219-1945
(503) 720-5293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
C2223
OR
Other
Enumeration date
02/05/2007
Last updated
03/20/2013
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