KENNETH EDWARD SERKOWNEK


Address: 770 Se Kane St, Roseburg, OR 97470-3943
Phone: 5416730057

KENNETH EDWARD SERKOWNEK (NPI# 1033356423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033356423
Entity Type Individual
Full Name KENNETH EDWARD SERKOWNEK
Credential PHD
Practice Address 770 Se Kane St
Roseburg
OR 97470-3943
Practice Telephone 5416730057
Practice Fax Number 5416732270
Mailing Telephone 5416730057
Mailing Fax Number 5416732270
Enumeration Date 2009-01-07
Last Update Date 2009-01-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
587 OR Behavioral Health & Social Service Providers

Office Location

Street Address 770 SE KANE ST
City ROSEBURG
State OR
Zip Code 97470-3943

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275597395 Lisa Hubbard Social Worker 770 Se Kane St, Roseburg, OR 97470-3943 2006-04-14
1295229052 Jill Ann Williams Counselor 770 Se Kane St, Roseburg, OR 97470-3943 2018-06-15
1851813646 Keila Elizabeth Lloyd Counselor 770 Se Kane St, Roseburg, OR 97470-3943 2017-07-12
1285163493 Jeffery W Retke Counselor 770 Se Kane St, Roseburg, OR 97470-3943 2017-06-09
1841673019 Danielle Marie Pruett Counselor 770 Se Kane St, Roseburg, OR 97470-3943 2015-07-06
1003239195 Heather Whitney Counselor 770 Se Kane St, Roseburg, OR 97470-3943 2014-01-27
1780007823 Juliet Swan Counselor 770 Se Kane St, Roseburg, OR 97470-3943 2014-01-24
1780722009 Margo M Borland Registered Nurse 770 Se Kane St, Roseburg, OR 97470-3943 2007-02-01
1982760344 Cindy L Shirtcliff Social Worker 770 Se Kane St, Roseburg, OR 97470-3943 2006-12-29
1063585131 Nancy Yvonne Armand Marriage & Family Therapist 770 Se Kane St, Roseburg, OR 97470-3943 2006-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326547134 Thoughtwork, LLC Social Worker 178 Nw Garden Valley Blvd, Roseburg, OR 97470 2018-02-07
1063932960 Go Mo, LLC Durable Medical Equipment & Medical Supplies 627 Se Jackson St, Roseburg, OR 97470 2017-06-21
1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598897084 Lawrence J Flanagan Psychologist 1652 Nw Hughwood Ct, Roseburg, OR 97470-8844 2007-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932722345 Izmirian Counseling, PC Psychologist 1450 Se Holgate Blvd, Portland, OR 97202-4717 2020-05-19
1538728472 Little Star Psychological Services, LLC Psychologist 1127 Lincoln St, Eugene, OR 97401-3695 2019-06-12
1013573286 Erin Fuller Crozier Psychologist 408 Sw Monroe Ave Ste M252, Corvallis, OR 97333-7210 2019-05-14
1225506702 Michele Ribeiro Psychologist 511 Nw 11th St, Corvallis, OR 97330-6010 2018-11-02
1669959078 Pamela Michelle Taite Psychologist 1785 Ne Sandy Blvd Ste 270, Portland, OR 97232-2791 2018-07-27
1861850737 Traci Rieckmann Psychologist 2925 Ne 53rd Ave, Portland, OR 97213-2437 2016-02-05
1710370101 Asha Stephen Psychologist 1590 E.13th Ave, Eugene, OR 97403 2015-03-10
1801289343 Alisia Caban Psychologist 1590 E 13th Ave., University Counseling & Testing Center, Eugene, OR 97403-1280 2015-03-09
1336532860 Heather Brooks Morse Psychologist 2228 West 25th Place, Eugene, OR 97405 2015-03-09
1073905758 Brent Horner Psychologist 132 E Broadway Ste 301, Eugene, OR 97401-3154 2015-03-04
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Competitor

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City ROSEBURG
Zip Code 97470

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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