Individual
KATHERINE KNEUPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8425 N LOMBARD ST, PORTLAND, OR 97203-3728
(503) 595-4516
Mailing address
2229 NE PRESCOTT ST, PORTLAND, OR 97211-6405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4427
OR
Other
Enumeration date
02/19/2007
Last updated
02/15/2012
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