MEDICARE: KATE KNOCHEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	144481	OR

General Provider Information

NPI Number	:	1144165325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE KNOCHEL

Provider Business Mailing Address
First Line	:	7452 SW 52ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-1315
Country	:	US
Telephone Number	:	503-916-6308
Fax Number	:

Provider Business Practice Location Address
First Line	:	7452 SW 52ND AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-1315
Country	:	US
Telephone Number	:	503-916-6308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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Directions to “ KATE KNOCHEL ” Practice Location

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