Individual provider · Type 1 NPI
Glen Alan Kenoski, ARNP
Adult Psychiatric/Mental Health Registered Nurse · Portland, OR
NPI number
1104927029
Active
Practice location
3710 SW US Veterans Rd
Portland, OR 97207
Fax (360) 737-1419
Mailing address
1819 NE 66th St
Vancouver, WA 98665-0367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 088006537N3 (OR) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
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About NPI 1104927029
Glen Alan Kenoski, ARNP's National Provider Identifier is 1104927029, issued on Sep 25, 2006. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.