Individual provider · Type 1 NPI

Kordell Noltan Kennemer, PSYD

Clinical Psychologist · Oregon City, OR

NPI number 1730282138 Active

Practice location

619 Madison St Ste 108
Oregon City, OR 97045

Mailing address

PO Box 14900, Dhs Ofs Irs Dba Oregon State Hospital
Salem, OR 97309-5016

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1633 (OR)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1730282138

Kordell Noltan Kennemer, PSYD's National Provider Identifier is 1730282138, issued on Sep 7, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Oregon City, OR. The record was last updated on Nov 16, 2020.