Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH LAKE CORNOG
ActiveKENNETH LAKE CORNOG is a Mental Health Counselor healthcare provider located in PORTLAND, Oregon. NPI 1962289470 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PORTLAND, OR
Registration Details
- NPI Number
- 1962289470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 11, 2023 (2.8985379533805 yrs)
- Last Updated
- Oct 6, 2025
- License
-
R9487 (OR)
Practice Information
- Address
-
3231 SE 50TH AVEPORTLAND, OR, 972062248Browse OR providers · Browse ZIP 97206
- Phone
- 5032385203
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. DIANNE E. LEROY | M.S., L.P.C. | 1649261595 |
| MRS. CAROL JEAN MORAIS | MA LPC CADC III | 1811971096 |
| MRS. JONNIE MCRAE VANDERZANDEN | LPC | 1437133584 |
| KAY A MYERS | MA, LPC | 1932160926 |
| MS. WENDY L. BAUMAN | LPC, CADCI | 1356309868 |
| MS. KAREN ELLEN GRUETTER | LPC LMFT CADC III | 1134187503 |
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.