Provider Demographics
NPI:1376143057
Name:NKEMONTOH, PAUL ATTENGONG
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ATTENGONG
Last Name:NKEMONTOH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13550 SW POMMEL CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-7230
Mailing Address - Country:US
Mailing Address - Phone:503-680-8277
Mailing Address - Fax:
Practice Address - Street 1:3440 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-7168
Practice Address - Country:US
Practice Address - Phone:971-808-2686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor