Ethan Chauncey Korngold in Portland - Internal Medicine
Ethan Chauncey Korngold - NPI 1568452738
Ethan Chauncey Korngold is a Internal Medicine in Portland, Oregon. Ethan Chauncey Korngold practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ethan Chauncey Korngold is 1568452738. The last update date is 2021-03-19.
Ethan Chauncey Korngold's current location address is 9427 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032160900. The mailing address for Ethan Chauncey Korngold is 9427 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan Chauncey Korngold |
|---|---|
| Address | 9427 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5032160900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568452738 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2021-03-19 |
Provider Mailing Address Detail
| Address | 9427 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256652 |
| Phone Number | 5032160900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 217916 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00848656 | OR | RR MEDICARE | |
| 500609355 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ethan Chauncey Korngold by the Centers for Medicare & Medicaid Services (CMS)?
The Ethan Chauncey Korngold has been assigned the NPI (National Provider Identifier) 1568452738. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Ethan Chauncey Korngold's facilities are situated?
The facilities of Ethan Chauncey Korngold are physically located at the following address: 9427 Sw Barnes Rd, Portland, OR, 972256652.
What is the area of specialization for Ethan Chauncey Korngold, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ethan Chauncey Korngold is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568452738 to Ethan Chauncey Korngold?
The Centers for Medicare & Medicaid Services assigned the 1568452738 to Ethan Chauncey Korngold on 2005-10-27.
When was the information regarding Ethan Chauncey Korngold most recently updated?
The details pertaining to the Ethan Chauncey Korngold, including its address, specialty, and other relevant information, were last refreshed on 2021-03-19.