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KENNETH LAKE CORNOG
NPI 1962289470
Counselor - Mental Health in Portland, OR

Active since September 11, 2023
3231 SE 50TH AVE, PORTLAND, OR 97206(503) 238-5203 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Lake Cornog NPPES

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

KENNETH LAKE CORNOG (NPI 1962289470) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R9487) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1962289470
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENNETH LAKE CORNOG
Location Address3231 SE 50TH AVEPortland, OR 97206-2248
Mailing Address716 Se 29th AvePortland, OR 97214-3028 · (518) 409-6158
Phone(503) 238-5203
Sole ProprietorNo
Enumeration DateSeptember 11, 2023
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1962289470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R9487
3231 SE 50TH AVE, Portland, OR 97206
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. KAT V BRADY LAC
Acupuncturist
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 238-5203
MS. BARBARA O'MALLEY FLOYD CNM, NMNP
Advanced Practice Midwife
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 775-4931
CATHRYN JULIA GIRALDES PWS
Peer Specialist
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 238-5203
SUSAN NICOLE VAUGHN CADC-R
Counselor (Addiction (Substance Use Disorder))
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 238-5203
MELANIE C LAKAEMPER NP
Nurse Practitioner (Women's Health)
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 775-4931
HONEY GWENN ROBBINS NP
Nurse Practitioner (Family)
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 788-7273
PROJECT QUEST
Specialist
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 238-5203
PROJECT QUEST
Counselor (Addiction (Substance Use Disorder))
3231 SE 50TH AVE
PORTLAND, OR 97206
Multnomah County (503) 238-5203

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 Kenneth Cornog's NPI number?

The NPI number for Kenneth Cornog is 1962289470. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Kenneth Cornog located?

Kenneth Cornog practices at 3231 SE 50th Ave, Portland, OR 97206. The listed phone number is (503) 238-5203.

What is Kenneth Cornog's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Cornog was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.