Kennemer, Kordell Noltan
Kennemer, Kordell Noltan is an individual health care provider with primary practice located at 619 Madison St Ste 108 , Oregon City OR 97045. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kennemer, Kordell Noltan can be contacted via phone (503) 387-3957.Contact Information
Primary practice address
619 Madison St Ste 108
Oregon City OR 97045
Phone: (503) 387-3957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1633 | Oregon |
Profile Details
| NPI number | 1730282138 |
|---|---|
| LBN Legal business name | Kennemer, Kordell Noltan |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Nov 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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