Individual provider Active NPI

Oriana Korol

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1770110041
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11074 Issued in OR
Practice address
9201 SE Foster Rd Ste 202
Portland, OR 97266-4644
Phone
(802) 274-1489
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L11074 OR Primary

Addresses

Primary practice location

9201 SE Foster Rd Ste 202
Portland, OR 97266-4644

Mailing address

5990 SE 92ND Ave # 78
Portland, OR 97266-4670
Phone (971) 350-9205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L11074ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Ecotherapy and Family Services LLC Clinical CurrentSince May 26, 2024 Accepting new patients

Locations

9201 SE Foster Rd
Ste 202
Portland, OR 97266
Phone (802) 274-1489

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1770110041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 SE 92ND AVE # 78",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664670",
            "telephone_number": "971-350-9205",
            "fax_number": "866-541-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 SE FOSTER RD STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972664644",
            "telephone_number": "802-274-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROL",
        "first_name": "ORIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.