MR. GLEN ALAN KENOSKI ARNP NPI 1104927029

NPI Information

NPI: 1104927029
Provider Name: MR. GLEN ALAN KENOSKI, ARNP
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
3710 SW US VETERANS RD
PORTLAND, OR
ZIP 97207
Phone: (503) 220-8262
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MR. Glen Alan Kenoski, ARNP is a psychiatric/mental health and adult registered nurse in Portland, OR. MR. Glen Alan Kenoski, ARNP NPI is 1104927029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3710 SW US VETERANS RD
PORTLAND, OR
ZIP 97207
Phone: (503) 220-8262
Fax: (360) 737-1419

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	088006537N3	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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