KEN KORNELIS

LAKE OSWEGO, OR
NPI1538360003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: OR  872)
Enumeration Date2007-05-30
Last Update Date2017-09-15
Business Address
DR. KEN KORNELIS PH.D
15110 BOONES FERRY RD STE 100E
LAKE OSWEGO, OR 97035-3452
Phone number: 503-538-6045
Mailing Address
DR. KEN KORNELIS PH.D
15110 BOONES FERRY RD STE 100E
LAKE OSWEGO, OR 97035-3452
Phone number: 503-636-8654
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