Kenneth Alan Ensroth
MD | Psychiatry | Child & Adolescent
1500 Division St, Child Clinic, Oregon City
Oregon, 97045-1527
503-722-3700 503-722-3750
Maps & DirectionsKenneth Alan Ensroth is a Oregon City, Oregon based psychiatrist who is specialized in Child & Adolescent. Active license number of Kenneth Alan Ensroth is MD22953 for Child & Adolescent in Oregon. His current practice location is 1500 Division St, Child Clinic, Oregon City. Patients can reach him at 503-722-3700 or can fax him at 503-722-3750. Kenneth Alan Ensroth is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1770599185.
Kenneth Alan Ensroth has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Kenneth Alan Ensroth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kenneth Alan Ensroth |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | MD |
| Practice Address: | 1500 Division St, Child Clinic, Oregon City,
Oregon, 97045-1527 |
| Phone: | 503-722-3700 |
| Fax: | 503-722-3750 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1770599185 |
| NPI Enumeration Date: | 31 Jul, 2006 |
| NPI Last Update On: | 09 Mar, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Alan Ensroth are as mentioned below.
| License Number | Specialization | State | Status | |
| MD22953 | Child & Adolescent | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Alan Ensroth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 287772 | Medicaid | Oregon | |
| 500656755 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kenneth Alan Ensroth
Po Box 3158,
Portland, Oregon |
| Zip: | 97208-3158 |
| Phone Number: | 503-722-3700 |
| Fax Number: | 503-722-3750 |
Patients can reach Kenneth Alan Ensroth at
1500 Division St, Child Clinic, Oregon City, Oregon or can
call to book an appointment on 503-722-3700.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.