1083157416 NPI number — LISA PAULINE KNUDSEN LPC, CADCII

Table of content: LISA PAULINE KNUDSEN LPC, CADCII (NPI 1083157416)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083157416 NPI number — LISA PAULINE KNUDSEN LPC, CADCII

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNUDSEN
Provider First Name:
LISA
Provider Middle Name:
PAULINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC, CADCII
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083157416
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20512 SW ROY ROGERS RD
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
SHERWOOD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97140-9929
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-341-2694
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20512 SW ROY ROGERS RD
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
SHERWOOD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-341-2694
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/03/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  03-03-60 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: C4979 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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