Provider Demographics
NPI:1831342070
Name:KUENNING, KAREN L (MS)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:KUENNING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 SW ARNOLD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-7618
Mailing Address - Country:US
Mailing Address - Phone:503-246-6184
Mailing Address - Fax:503-246-6184
Practice Address - Street 1:2132 SW ARNOLD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-7618
Practice Address - Country:US
Practice Address - Phone:503-246-6184
Practice Address - Fax:503-246-6184
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORCO144101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional