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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN CHAUNCEY KORNGOLD, MD

Active

ETHAN CHAUNCEY KORNGOLD, MD is a Hospice and Palliative Medicine healthcare provider located in PORTLAND, Oregon. NPI 1568452738 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · PORTLAND, OR

Registration Details

NPI Number
1568452738
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2005 (20.767986763319 yrs)
Last Updated
Mar 19, 2021
Licenses
217916 (MA)
MD29224 (OR)
217916 (MA)
MD60107167 (WA)
MD29224 (OR)

Practice Information

Address
9427 SW BARNES RD
SUITE 498
PORTLAND, OR, 972256652
Browse OR providers · Browse ZIP 97225
Phone
5032160900
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in PORTLAND, OR

Name Credential NPI
DR. DAVID S. PEIZNER M.D. 1245235233
DR. ELI A. ROSENTHAL M.D. 1356346399
DR. SAMUEL S.M. LAU M.D. 1811995087
DR. DAVID E WU M.D. 1063404739
ROBERT WALTER HODSON MD 1699767137
JASON ROLAND WOLLMUTH M.D. 1164498499
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.