Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEN KORNELIS, PH.D
Active Sole ProprietorDR. KEN KORNELIS, PH.D is a Clinical Psychologist healthcare provider located in LAKE OSWEGO, Oregon. NPI 1538360003 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LAKE OSWEGO, OR
Registration Details
- NPI Number
- 1538360003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2007 (19.1839939711 yrs)
- Last Updated
- Sep 15, 2017
- License
-
872 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15110 BOONES FERRY RDSTE 100ELAKE OSWEGO, OR, 970353452Browse OR providers · Browse ZIP 97035
- Phone
- 5035386045
- Fax
- 5035381598
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in LAKE OSWEGO, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JEAN L LINSCOTT | PH D | 1710994785 |
| DR. KENDRA JOAN SUMMERS | PHD | 1902901697 |
| DR. JUDITH PULLAN | PH.D. | 1790883759 |
| DR. GARY PHILLIP MONKARSH | PH.D. | 1942397997 |
| DR. GREGG STEVEN SASHKIN | PH.D. | 1235227240 |
| DAVID THOMAS BICE | PHD | 1417033952 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.