Provider Demographics
NPI:1316001886
Name:JOYCE A. KORSCHGEN, LPC, PC
Entity Type:Organization
Organization Name:JOYCE A. KORSCHGEN, LPC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KORSCHGEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-221-4531
Mailing Address - Street 1:818 NW 17TH AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2327
Mailing Address - Country:US
Mailing Address - Phone:503-221-4531
Mailing Address - Fax:503-263-6278
Practice Address - Street 1:818 NW 17TH AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2327
Practice Address - Country:US
Practice Address - Phone:503-221-4531
Practice Address - Fax:503-263-6278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0741101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty