IndividualActive
Ken Kornelis, PH.D
NPI 1538360003 · Clinical Psychologist · Lake Oswego, OR
Ken Kornelis, PH.D is a Clinical Psychologist provider in Lake Oswego, OR (NPI 1538360003).
Provider details
- NPI number
- 1538360003
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 872 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15110 Boones Ferry Rd
Ste 100e
Lake Oswego, OR 97035-3452
Phone: (503) 538-6045
Fax: (503) 538-1598
Street-level locationGet directions
Mailing address
15110 Boones Ferry Rd
Lake Oswego, OR 97035-3452
Registry dates
- Enumerated
- 2007-05-30
- Last updated
- 2017-09-15
Frequently asked questions
- What is Ken Kornelis's NPI number?
- Ken Kornelis's National Provider Identifier (NPI) is 1538360003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ken Kornelis's specialty?
- Ken Kornelis is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Ken Kornelis located?
- Ken Kornelis's practice location on file with NPPES is 15110 Boones Ferry Rd, Lake Oswego, OR 97035-3452.
- What is Ken Kornelis's phone number?
- The practice phone number listed in the NPPES registry for Ken Kornelis is (503) 538-6045.
- Is Ken Kornelis's NPI active?
- Yes — Ken Kornelis's NPI (1538360003) is active in the NPPES registry as of the last update on 2017-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.