Madeleine Knutson
Specialist/Technologist, Athletic Trainer in Portland, OR. Individual provider (NPI-1).
NPI number1366096448
StatusActive
Last updated in NPPESJul 28, 2019
Details
- NPI
- 1366096448
- Entity type
- Individual (NPI-1)
- Name
- Madeleine Knutson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2019
- Last updated
- Jul 28, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
12617 Nw Avignon LnPortland, OR 97229-9405
Phone 503-841-7500
Mailing address
12617 Nw Avignon LnPortland, OR 97229-9405
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 77 Athletic Trainer providers in Portland · All 48,847 providers in Portland
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