Glen Alan Kenoski in Portland - Psychiatric/mental Health, Adult
Glen Alan Kenoski - NPI 1104927029
Glen Alan Kenoski is a Psychiatric/mental Health, Adult in Portland, Oregon. Glen Alan Kenoski practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Glen Alan Kenoski is 1104927029. The last update date is 2007-07-08.
Glen Alan Kenoski's current location address is 3710 Sw Us Veterans Rd, Portland, Oregon. You can contact this provider via phone number 5032208262 and fax number 3607371419. The mailing address for Glen Alan Kenoski is 3710 Sw Us Veterans Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Alan Kenoski |
|---|---|
| Address | 3710 Sw Us Veterans Rd, Portland, Oregon |
| Phone Number | 5032208262 |
| Fax Number | 3607371419 |
| Sole Proprietor | Y |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1104927029 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3710 Sw Us Veterans Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97207 |
| Phone Number | 5032208262 |
| Fax Number | 3607371419 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 163Wp0809X |
| Licence No | 088006537N3 |
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Definition: A psychiatric nurse who cares for adult patients. |
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What is the unique 10-digit identification code issued to Glen Alan Kenoski by the Centers for Medicare & Medicaid Services?
The Glen Alan Kenoski has been assigned the NPI (National Provider Identifier) 1104927029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Glen Alan Kenoski located?
The Glen Alan Kenoski is located at 3710 Sw Us Veterans Rd, Portland, OR 97207.
What is the area of specialization for Glen Alan Kenoski, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glen Alan Kenoski is Psychiatric/mental Health, Adult, and the corresponding taxonomy code that categorizes this area of expertise is 163Wp0809X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104927029 to Glen Alan Kenoski?
The Centers for Medicare & Medicaid Services assigned the 1104927029 to Glen Alan Kenoski on 2006-09-25.
As of what date were the details pertaining to Glen Alan Kenoski last refreshed?
The information related to the Glen Alan Kenoski, including its address, specialty, and other relevant details, was last updated on 2007-07-08.