Organization
KORDELL KENNEMER PSYD
Active
Organization
KORDELL KENNEMER PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY MICHELE VAN DRIMMELEN (ADMINISTRATOR)
(503) 303-4257
Entity
Organization
Contact information
Practice address
619 MADISON ST STE 108, OREGON CITY, OR 97045
(503) 303-4257
(503) 387-3957
Mailing address
619 MADISON ST STE 108, OREGON CITY, OR 97045-2354
(503) 303-4257
(503) 387-3957
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1633
OR
Other
Enumeration date
06/04/2018
Last updated
06/27/2018
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