Provider Demographics
NPI:1619313673
Name:KNOWLES, KATHERINE EMILY (MA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:EMILY
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12245 NW BIG FIR CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-3911
Mailing Address - Country:US
Mailing Address - Phone:503-970-5382
Mailing Address - Fax:
Practice Address - Street 1:12245 NW BIG FIR CT
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-3911
Practice Address - Country:US
Practice Address - Phone:503-970-5382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist