Juliet Allison Korngut

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

295139 Issued in OR

Practice address

18040 SW Lower Boones Ferry Rd Ste 200
Tigard, OR 97224-7259

Phone

(503) 216-0686

Fax

(503) 216-0831

NPI assigned

Aug 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1861973414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 NW OVERTON ST APT 1807",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093899",
            "telephone_number": "214-662-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18040 SW LOWER BOONES FERRY RD STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247259",
            "telephone_number": "503-216-0686",
            "fax_number": "503-216-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNGUT",
        "first_name": "JULIET",
        "middle_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "295139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Kolstad
• Shyam Abraham Kommukuri
• Briani Komoda
• Shane Kooken-Hover, L.M.T.
• Timothy D. Kopet, PH.D.
• Abraham Korpoh
• Petia Kortcheva
• Mary Leanore Kost
• Phillip Kotlyarevskiy, PHARM D
• Ashley Koulax

• Occupational Therapist in Tigard, OR
• Providers in Tigard, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.