Individual
MADELEINE KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12617 NW AVIGNON LN, PORTLAND, OR 97229-9405
(503) 841-7500
Mailing address
12617 NW AVIGNON LN, PORTLAND, OR 97229-9405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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