Individual
CAROLYN ANN KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMT
Contact information
Practice address
8315 N DENVER AVE, PORTLAND, OR 97217-6707
(503) 504-0495
Mailing address
5016 N COMMERCIAL AVE, PORTLAND, OR 97217-2652
(503) 504-0495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3164
OR
Other
Enumeration date
07/02/2007
Last updated
10/29/2013
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