Individual
MICHELLE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8212 SW LOCUST ST, TIGARD, OR 97223-5822
(503) 244-2068
Mailing address
8212 SW LOCUST ST, TIGARD, OR 97223-5822
(503) 244-2068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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