MYONG PENNY O CSWA
NPI 1124327960
Counselor - Mental Health in Portland, OR
Active since March 18, 2011
About Myong Penny O Cswa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYONG PENNY O CSWA (NPI 1124327960) is an individual mental health provider in Portland, Oregon and active in the NPI registry since March 2011.
NPPES Registry Identity
NPI1124327960
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMYONG PENNY OCredential: CSWA
Location Address3930 SE DIVISION STPortland, OR 97202-1643
Mailing Address3930 Se Division StPortland, OR 97202-1643
Phone(503) 418-8248
Sole ProprietorYes
Enumeration DateMarch 18, 2011
Last NPPES UpdateFebruary 3, 2012
✔ NPI 1124327960 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3930 SE DIVISION ST, Portland, OR 97202
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124327960, enumerated as an "individual" on March 18, 2011.
The provider is located at 3930 SE DIVISION ST PORTLAND, OR 97202 and the phone number is (503) 418-8248.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
