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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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