person
Mr. Glen Alan Kenoski, ARNP
Adult Psychiatric/Mental Health Registered Nurse in Portland, Oregon
NPI 1104927029

Glen Alan Kenoski is an Adult Psychiatric/Mental Health Registered Nurse based in Vancouver, OR and is specialized in Psychiatric/Mental Health, Adult. Glen Alan Kenoski practices in Portland, OR and has the professional credentials of ARNP. The NPI Number for Glen Alan Kenoski is 1104927029 and holds a License No. 088006537N3 (Oregon).

The current practice location address for Glen Alan Kenoski is 3710 Sw Us Veterans Rd, Portland, OR and can be reached out via phone at 503-220-8262 and via fax at 360-737-1419.

Location: 3710 Sw Us Veterans Rd, Portland, OR, 98665-0367
person
Provider Profile Details
NPI Number
1104927029
Provider Name
Glen Alan Kenoski
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
3710 Sw Us Veterans Rd, Portland, OR, 98665-0367
Phone Number
503-220-8262
Fax Number
360-737-1419
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3710 Sw Us Veterans Rd
City
State
Zip
97207
Phone Number
503-220-8262
Fax Number
360-737-1419
person
Provider Business Mailing Address Details
Address
3710 Sw Us Veterans Rd
City
State
Zip
97207
Phone Number
503-220-8262
Fax Number
360-737-1419
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
088006537N3 (Oregon)
Definition
Definition to come...
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