Charlie Nichole Knowlton
PHD | Psychologist | 5+ years Exp
12360 E Burnside St, Portland
Oregon, 97233-1042
971-279-4800 971-279-2051
Maps & DirectionsCharlie Nichole Knowlton is a Portland, Oregon based psychologist with 5 years of experience in General Psychology. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charlie Nichole Knowlton is 3385 for Clinical Psychology in Oregon. Her current practice location is 12360 E Burnside St, Portland. Patients can reach her at 971-279-4800 or can fax her at 971-279-2051. Charlie Nichole Knowlton is PHD in General Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1972952414.
Charlie Nichole Knowlton is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, she performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. She can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Charlie Nichole Knowlton speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Charlie Nichole Knowlton |
| Specialization: | General Psychology |
| Gender: | Female |
| Credentials: | PHD |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12360 E Burnside St, Portland, Oregon, 97233-1042 |
| Phone: | 971-279-4800 |
| Fax: | 971-279-2051 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9133527849 |
| Enrollment ID: | I20211011002606 |
| NPI Number: | 1972952414 |
| NPI Enumeration Date: | 06 Jun, 2016 |
| NPI Last Update On: | 27 Sep, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlie Nichole Knowlton are as mentioned below.
| License Number | Specialization | State | Status | |
| 3385 | Clinical Psychology | Oregon | Primary | |
| 3385 | General Psychology | Oregon | Secondary | |
| 3385 | Counseling Psychology | Oregon | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Charlie Nichole Knowlton is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Connected Cognition Llc (5193158335) | 2 |
| Native American Rehabilitation Association, Inc. (2668361585) | 5 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Charlie Nichole Knowlton 1776 Sw Madison St, Portland, Oregon |
| Zip: | 97205-1715 |
| Phone Number: | 503-224-1044 |
| Fax Number: | 503-621-2235 |
Patients can reach Charlie Nichole Knowlton at
12360 E Burnside St, Portland, Oregon or can
call to book an appointment on 971-279-4800.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.