Kenoski, Glen Alan
Kenoski, Glen Alan is an sole proprietor health care provider with primary practice located at 3710 Sw Us Veterans Rd , Portland OR 97207. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Kenoski, Glen Alan can be contacted via phone (503) 220-8262.Contact Information
Primary practice address
3710 Sw Us Veterans Rd
Portland OR 97207
Phone: (503) 220-8262
Fax: (360) 737-1419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 088006537N3 | Oregon |
Profile Details
| NPI number | 1104927029 |
|---|---|
| LBN Legal business name | Kenoski, Glen Alan |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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