Provider Demographics
NPI:1417572033
Name:KNIGHT, VERONICA SHIU (MED MSW LCSW LICSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:SHIU
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MED MSW LCSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1682
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97207-1682
Mailing Address - Country:US
Mailing Address - Phone:503-447-6398
Mailing Address - Fax:833-806-8878
Practice Address - Street 1:111 SW HARRISON ST APT 14A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-5382
Practice Address - Country:US
Practice Address - Phone:503-447-6398
Practice Address - Fax:833-806-8878
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker