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Search › Oregon › 103TC0700X

Ken Kornelis, PH.D

NPI 1538360003 · on the registry since 2007 · sole proprietor

Practice

Address
15110 Boones Ferry Rd
Ste 100e
Lake Oswego, OR 97035
Phone
(503) 538-6045
Fax
(503) 538-1598
Organisation at this address
Alison Kilcup Md
Tanya Hudson, Nd, Llc
Stephani Shaver Lcsw Llc
Danielle Cornelius Dc Llc
Forest Psychological Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon