MYONG PENNY O (CSWA) – Mental Health Counselor, NPI 1124327960

MYONG PENNY O (CSWA) is a healthcare provider. based in Portland, Oregon. specializing in Mental Health Counselor. They hold the professional credentials CSWA. The NPI Number for MYONG PENNY O (CSWA) is 1124327960

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MYONG PENNY O (CSWA)
NPI
1124327960
Phone
Not provided
Address
3930 SE DIVISION ST
Enumeration Date
18 March 2011
Last Update Date
3 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034183900
Graduation Year
2010 (16 years ago)
PAC ID
4284907304
Group Practice PAC ID
1759328842
Professional Enrollment ID
I20170912000108
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for MYONG PENNY O (CSWA)

  • 3930 SE DIVISION ST

    PORTLAND, OR 972021643

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759328842View full group profile

Reviews

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Frequently asked questions

Is MYONG PENNY O (CSWA) listed with a National Provider Identifier?
Yes — MYONG PENNY O (CSWA) has NPI 1124327960 on file in the registry.
Is there an active status for MYONG PENNY O (CSWA)?
For scheduling context, MYONG PENNY O (CSWA) is shown as active in the registry.
What clinical focus is listed for MYONG PENNY O (CSWA)?
At a glance, MYONG PENNY O (CSWA) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MYONG PENNY O (CSWA)?
Directory geography for MYONG PENNY O (CSWA) centers on Portland, Oregon.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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