Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Chauncey Korngold, MD

Individual provider Internal Medicine Physician · NPI 1568452738

Ethan Chauncey Korngold, MD is an Internal Medicine Physician in Portland, Oregon. Licensed in Massachusetts, Oregon and Washington. Registered with an NPI since 2005.

Licensed in
MA, OR, WA
In the registry since
2005
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9427 SW Barnes Rd Ste 498
Portland, OR 97225-6652
Phone: (503) 216-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD29224 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 217916 (MA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD29224 (OR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 217916 (MA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence MD60107167 (WA)

Record details

NPI number1568452738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

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