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1730282138
KORDELL NOLTAN KENNEMER
OREGON CITY, OR
NPI
1730282138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1633)
Enumeration Date
2006-09-07
Last Update Date
2020-11-16
Business Address
KORDELL NOLTAN KENNEMER PsyD
619 MADISON ST STE 108
OREGON CITY, OR 97045
Phone number: 503-387-3957
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Mailing Address
KORDELL NOLTAN KENNEMER PsyD
PO BOX 14900 DHS OFS IRS DBA OREGON STATE HOSPITAL
SALEM, OR 97309-5016
Phone number: 503-945-9840
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