Heather L Knott, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO158661 Issued in OR

Practice address

12901 SE 97TH Ave Ste 105
Clackamas, OR 97015-7902

Phone

(503) 912-4788

Fax

(503) 912-4787

NPI assigned

Jan 9, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Heather Regwan Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Arizona College of Osteopathic Medicine Mid Western University, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cognitive Care Medical Group LLCGroup PAC ID 6103101498, 3 clinicians

Northwest IV LLCGroup PAC ID 7214277383, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest IV, LLC

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1023596541
  Medicare reassignment Care Compare group NPD
• Cognitive Care Medical Group LLC

  • Psychiatry Physician
  • Clackamas, OR
  • NPI 1770023186
  Medicare reassignment Care Compare group
• Northwest IV, LLC

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1811600471
  NPD
• Northwest IV, LLC

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1225619703
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1194900084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE STE 105",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157902",
            "telephone_number": "503-912-4788",
            "fax_number": "503-912-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE STE 105",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157902",
            "telephone_number": "503-912-4788",
            "fax_number": "503-912-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "DO158661",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OR",
            "license": "DO158661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500723940",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "REGWAN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison Klossner, PT, DPT
• Cameron D Klug, MD
• Corinne Klykov, M.D.
• Heather Knapp
• Hailey Aloy Knepper
• Rachel Yj Ko, PA-C
• Susan Elise Koch, M.D.
• Lillie Ann Koehler, DPT
• Chika Koida
• Natalya Y Kolesnikova, RRT

• Psychiatry Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.