Provider Demographics
NPI:1346682390
Name:KNAPP, DOROTHY NELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:NELL
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DOROTHY
Other - Middle Name:NELL KNAPP
Other - Last Name:CORDOCHOREA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:19250 SW 65TH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7452
Mailing Address - Country:US
Mailing Address - Phone:503-692-1242
Mailing Address - Fax:503-691-3615
Practice Address - Street 1:19250 SW 65TH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7452
Practice Address - Country:US
Practice Address - Phone:503-692-1242
Practice Address - Fax:503-691-3615
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR942103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical