GLEN ALAN KENOSKI

PORTLAND, OR
NPI1104927029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: OR  088006537n3)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
Mr. GLEN ALAN KENOSKI ARNP
3710 SW US VETERANS RD
PORTLAND, OR 97207
Phone number: 503-220-8262
Mailing Address
Mr. GLEN ALAN KENOSKI ARNP
1819 NE 66TH ST
VANCOUVER, WA 98665-0367
Phone number: 360-737-8986
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