Individual provider · Type 1 NPI

Charlie Nichole Knowlton, PhD

Clinical Psychologist · Portland, OR

NPI number 1972952414 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Call (971) 279-4800 Map

Fax (971) 279-2051

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X3385 (OR)
Counseling Psychologist 103TC1900X3385 (OR)
Clinical Psychologist Primary 103TC0700X3385 (OR)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1972952414

Charlie Nichole Knowlton, PhD's National Provider Identifier is 1972952414, issued on Jun 6, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Sep 27, 2021.