Provider Demographics
NPI:1629115837
Name:KNAPPER, ARVETTE LASHELL (RESIDENT COUNSLOR1)
Entity Type:Individual
Prefix:MRS
First Name:ARVETTE
Middle Name:LASHELL
Last Name:KNAPPER
Suffix:
Gender:F
Credentials:RESIDENT COUNSLOR1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5626 NE CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97218-2454
Mailing Address - Country:US
Mailing Address - Phone:503-839-2000
Mailing Address - Fax:
Practice Address - Street 1:5626 NE CHURCH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97218-2454
Practice Address - Country:US
Practice Address - Phone:503-839-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion