IndividualActive
Glen Kenoski, ARNP
NPI 1104927029 · Adult Psychiatric/Mental Health Registered Nurse · Portland, OR
Provider details
- NPI number
- 1104927029
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 088006537N3 (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
3710 Sw US Veterans Rd
Portland, OR 97207
Phone: (503) 220-8262
Fax: (360) 737-1419
Approximate (ZIP-level) locationGet directions
Mailing address
1819 Ne 66th St
Vancouver, WA 98665-0367
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.