MR. GLEN ALAN KENOSKI ARNP
NPI 1104927029
Registered Nurse - Psychiatric/Mental Health, Adult in Portland, OR

Q: What is Glen Kenoski's NPI number?

The NPI number for Glen Kenoski is 1104927029. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Glen Kenoski's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Q: When was this NPI record last updated?

The NPPES record for Glen Kenoski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2006

3710 SW US VETERANS RD, PORTLAND, OR 97207(503) 220-8262(360) 737-1419 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Glen Alan Kenoski Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN ALAN KENOSKI ARNP (NPI 1104927029) is an individual psychiatric/mental health, adult provider in Portland, Oregon, licensed in Oregon (088006537N3) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1104927029

Entity TypeIndividualMale

Primary Taxonomy163WP0809X

Provider Legal NameMR. GLEN ALAN KENOSKICredential: ARNP

Location Address3710 SW US VETERANS RDPortland, OR 97207

Mailing Address1819 Ne 66th StVancouver, WA 98665-0367 · (360) 737-8986

Phone(503) 220-8262

Fax(360) 737-1419

Sole ProprietorYes

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104927029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in OR · 088006537N3

3710 SW US VETERANS RD, Portland, OR 97207

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREDERICK M BOLZENDAHL PA-C

Physician Assistant

3710 SW US VETERANS RD
PORTLAND, OR 97207

Multnomah County (503) 220-8262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Kenoski's NPI number?

The NPI number for Glen Kenoski is 1104927029. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Glen Kenoski located?

Glen Kenoski practices at 3710 SW Us Veterans Rd, Portland, OR 97207. The listed phone number is (503) 220-8262.

What is Glen Kenoski's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Glen Kenoski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.