Individual
TRAVIS KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
1805 NE SANDY BLVD, PORTLAND, OR 97232-2884
(503) 449-4311
Mailing address
1805 NE SANDY BLVD, PORTLAND, OR 97232-2884
(503) 449-4311
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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