Provider Demographics
NPI:1710316369
Name:KNAPP, ANGELA MULLIGAN (ND)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MULLIGAN
Last Name:KNAPP
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 NE FAIRGROUND AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-9100
Mailing Address - Country:US
Mailing Address - Phone:503-703-4245
Mailing Address - Fax:
Practice Address - Street 1:5212 NE 109TH COURT
Practice Address - Street 2:SUITE I
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-3258
Practice Address - Country:US
Practice Address - Phone:360-798-5704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60416393175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath