MR. Glen Alan Kenoski, ARNP

NPI #1104927029 in Portland, Oregon

Provider Information

NPI Number
1104927029
Entity Type
Individual
Name
MR. Glen Alan Kenoski, ARNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Psychiatric/Mental Health, Adult
Credential
ARNP
Enumeration Date
Sep 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
3710 SW US VETERANS RD
State
Oregon
ZIP Code
97207
Phone
(503) 220-8262

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Psychiatric/Mental Health, AdultPsychiatric/Mental Health, Adult

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