Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlie Nichole Knowlton, PHD

Individual provider Psychologist · NPI 1972952414

Charlie Nichole Knowlton, PHD is a Psychologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

12360 E Burnside St
Portland, OR 97233-1042
Phone: (971) 279-4800
Fax: (971) 279-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3385 (OR)
Psychologist Taxonomy 103T00000X · Licence 3385 (OR)
Counseling Psychologist Taxonomy 103TC1900X · Licence 3385 (OR)

Record details

NPI number1972952414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

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