LISA PAULINE KNUDSEN (NPI# 1083157416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083157416 |
Entity Type | Individual |
Full Name | LISA PAULINE KNUDSEN |
Credential | LPC, CADCII |
Practice Address |
20512 Sw Roy Rogers Rd Suite 150 Sherwood OR 97140 |
Mailing Address |
20512 Sw Roy Rogers Rd Suite 150 Sherwood OR 97140-9929 |
Practice Telephone | 5033412694 |
Mailing Telephone | 5033412694 |
Enumeration Date | 2016-12-03 |
Last Update Date | 2018-09-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
03-03-60 | OR | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
C4979 | OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184875148 | Lisa Knudsen | Speech-Language Pathologist | 1000 Eddy Street, Providence, RI 02905 | 2008-10-08 |
Street Address |
20512 SW ROY ROGERS RD SUITE 150 |
City | SHERWOOD |
State | OR |
Zip Code | 97140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457902744 | Barbara Jo Morgan | Technician | 17752 Sw Inkster Dr., Sherwood, OR 97140 | 2019-09-27 |
1588193031 | Brett Matthew Hulbert | Student in an Organized Health Care Education/Training Program | 17193 Sw Terrapin Dr. #106, Sherwood, OR 97140 | 2017-06-08 |
1982056479 | Mari Heslinga | Dentist | 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 | 2016-07-07 |
1649634668 | Sheila Johnson | Specialist | 15885 Sw Springtooth Ln, Sherwood, OR 97140 | 2016-04-06 |
1649640335 | Northwest Neurohealth LLC | Clinical Neuropsychologist | 501 N. Villa Road, Newberg, OR 97140 | 2015-10-07 |
1366841785 | Tae Yoon | Pharmacist | 21320 Sw Langer Farms Parkway, Sherwood, OR 97140 | 2014-08-21 |
1396155701 | Wal-mart Stores, Inc | Technician/Technologist | 21320 Sw Langer Farm, Sherwood, OR 97140 | 2014-05-07 |
1588916662 | Stacey Lynn Ritala | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd., Sherwood, OR 97140 | 2012-10-12 |
1518219310 | Peggy Ann Lewelling | Dental Hygienist | 15962 Sw Tualatin-sherwood Rd, Sherwood, OR 97140 | 2012-10-04 |
1427307396 | Jenna Maren Vernon | Physical Therapist | 16770 Sw Edy Rd Ste 310, Sherwood, OR 97140 | 2012-09-06 |
Find all providers in zip 97140 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417590282 | Melissa K Utz | Counselor | 20510 Sw Roy Rogers Rd Unit 302, Sherwood, OR 97140-9320 | 2019-10-23 |
1427261254 | Carissa Alana Bone | Counselor | 3111 Woodruff Creek Dr, Sherwood, AR 72120-2678 | 2007-05-08 |
1609088772 | Charlett Ann Smith | Counselor | 23264 Sw Main St, Sherwood, OR 97140-6309 | 2007-05-03 |
1972809721 | Esther Ruth Nelson | Counselor | 7800 Highway 107, Sherwood, AR 72120-5200 | 2011-01-26 |
1952639775 | Patricia Lynn Eddy | Counselor | 15510 Sw Bell Rd, Ste.b, Sherwood, OR 97140-9033 | 2009-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326649005 | Birgit Essl | Counselor | 925 Nw Wall St Ste 203, Bend, OR 97703-2052 | 2020-11-08 |
1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
1598362626 | Ascension Counseling LLC | Counselor | 15 Sw Colorado Ave Ste 127, Bend, OR 97702-1229 | 2020-10-01 |
1902413297 | Barbara Jenkins Jenkins Lehman | Counselor | 131 Nw Hawthorne Ave Ste 102, Bend, OR 97703-2957 | 2020-09-30 |
1326654021 | Lori Michelle Severson | Counselor | 12250 Sw 2nd St Ste B-103, Beaverton, OR 97005-2828 | 2020-09-17 |
1063020691 | Coastal Counseling & Consulting LLC | Counselor | 1638 N Coast Hwy, Newport, OR 97365-2357 | 2020-07-20 |
1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
1831707058 | Toni Lynn Bellinger | Counselor | 14523 Westlake Dr # 2, Lake Oswego, OR 97035-7700 | 2020-07-14 |
1831717800 | Marty Alan Michelson | Counselor | 609 Ne Baker St Ste 208, Mcminnville, OR 97128-4946 | 2020-07-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.