Provider Demographics
NPI:1548223258
Name:KNOPE, LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:
Last Name:KNOPE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8305 SE MONTEREY
Mailing Address - Street 2:#219
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-7161
Mailing Address - Country:US
Mailing Address - Phone:503-786-2171
Mailing Address - Fax:503-794-5905
Practice Address - Street 1:8305 SE MONTEREY
Practice Address - Street 2:#219
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-7161
Practice Address - Country:US
Practice Address - Phone:503-786-2171
Practice Address - Fax:503-794-5905
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1362103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical