Kennemer & Smith Psychological Services LLC
Psychologist, Clinical in Oregon City, OR. Organization (NPI-2).
NPI number1962004358
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1962004358
- Entity type
- Organization (NPI-2)
- Legal business name
- Kennemer & Smith Psychological Services LLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2020
- Certification date
- Nov 16, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
619 Madison St Ste 108Oregon City, OR 97045-2354
Phone 503-303-4257 · Fax 503-387-3957
Mailing address
619 Madison St Ste 108Oregon City, OR 97045-2354
Phone 503-303-4257 · Fax 503-387-3957
Authorized official
Alene Cerasuolo
Office Administrator
5033034257
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