Individual
ELAINE KORNGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8885 SW CANYON RD, PORTLAND, OR 97225-3431
(503) 770-0810
Mailing address
8885 SW CANYON RD STE 108, PORTLAND, OR 97225-3431
(503) 770-0810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
08/06/2020
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