ETHAN CHAUNCEY KORNGOLD

PORTLAND, OR
NPI1568452738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: OR  MD29224)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MA  217916)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: OR  MD29224)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MA  217916)
207RI0011X Internal Medicine, Interventional Cardiology
(Licence: WA  MD60107167)
Enumeration Date2005-10-27
Last Update Date2021-03-19
Business Address
ETHAN CHAUNCEY KORNGOLD MD
9427 SW BARNES RD SUITE 498
PORTLAND, OR 97225-6652
Phone number: 503-216-0900
Mailing Address
ETHAN CHAUNCEY KORNGOLD MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: