Kenneth Lake Cornog is a Portland, Oregon based counselor who is specialized as Mental Health Counselor. Active license number of Kenneth Lake Cornog is R9487 for Mental Health Counselor in Oregon. His current practice location is 3231 Se 50th Ave, Portland. Patients can book an appointment with him at 503-238-5203.
Kenneth Lake Cornog is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Kenneth Lake Cornog speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kenneth Lake Cornog
Specialization:
Mental Health Counselor
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
3231 Se 50th Ave, Portland, Oregon, 97206-2248
Phone:
503-238-5203
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:
1962289470
NPI Enumeration Date:
11 Sep, 2023
NPI Last Update On:
06 Oct, 2025
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 Lake Cornog are as mentioned below.
License Number
Specialization
State
Status
R9487
Mental Health Counselor
Oregon
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
716 Se 29th Ave, Portland, Oregon
Zip:
97214-3028
Phone Number:
518-409-6158
Patients can reach Kenneth Lake Cornog at 3231 Se 50th Ave, Portland, Oregon or can call to book an appointment on 503-238-5203. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.