Kordell Noltan Kennemer, PSYD - Psychologist in Oregon City, OR

Kordell Noltan Kennemer, PSYD is a Psychologist - Clinical based in Oregon City, Oregon. Kordell Noltan Kennemer is licensed to practice in Oregon (license number 1633) and his current practice location is 619 Madison St Ste 108, Oregon City, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 387-3957.

NPI number for Kordell Noltan Kennemer is 1730282138 and his current mailing address is Po Box 14900, Dhs Ofs Irs Dba Oregon State Hospital, Salem, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730282138.

Contact Information

Kordell Noltan Kennemer, PSYD
619 Madison St Ste 108,
Oregon City, OR 97045
(503) 387-3957
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKordell Noltan Kennemer
GenderMale
SpecialityPsychologist - Clinical
Location619 Madison St Ste 108, Oregon City, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730282138
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 11/16/2020

Medical Identifiers

Medical identifiers for Kordell Noltan Kennemer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730282138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1633 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kordell Noltan Kennemer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kordell Noltan Kennemer, PSYD
Po Box 14900, Dhs Ofs Irs Dba Oregon State Hospital,
Salem, OR 97309-5016

Ph: (503) 945-9840
Kordell Noltan Kennemer, PSYD
619 Madison St Ste 108,
Oregon City, OR 97045

Ph: (503) 387-3957

Reviews and Comments


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