KRISTINE ELIN NYSTROM (NPI# 1891113361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891113361 |
Entity Type | Individual |
Full Name | KRISTINE ELIN NYSTROM |
Credential | LPC |
Practice Address |
4531 Se Belmont St Suite 203 Portland OR 97215-1675 |
Mailing Address |
715 Nw Hoyt St Box 2234 Portland OR 97208-8097 |
Practice Telephone | 5033829654 |
Mailing Telephone | 5033829654 |
Enumeration Date | 2014-04-02 |
Last Update Date | 2017-04-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
C3385 | OR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500676787 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356618052 | Kristine Marie Nystrom | Pharmacist | 9 Central Ave E, Saint Michael, MN 55376-9520 | 2011-11-23 |
Street Address |
4531 SE BELMONT ST SUITE 203 |
City | PORTLAND |
State | OR |
Zip Code | 97215-1675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154328664 | Edyth Adele Willard | Pharmacist | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2005-06-30 |
1538767223 | Silvia Gozzini | Marriage & Family Therapist | 4531 Se Belmont St, Portland, OR 97215-1699 | 2020-10-14 |
1427582865 | Brandy Halprin | Social Worker | 4531 Se Belmont St, Portland, OR 97215-1675 | 2017-04-12 |
1992256762 | Suzanne Bernard | Health Maintenance Organization | 4531 Se Belmont St, Portland, OR 97215-1675 | 2016-10-17 |
1396296182 | Jean Rossetto | Registered Nurse | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2016-10-17 |
1487100285 | Ruth Jenkins | Speech-Language Pathologist | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-08-31 |
1801249792 | Catherine Dunn | Registered Nurse | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-07-15 |
1023468980 | Anne Forester | Registered Nurse | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-06-21 |
1750731444 | Diana Lynn Mcdougal | Physical Therapy Assistant | 4531 Se Belmont St, Portland, OR 97215-1675 | 2016-06-14 |
1558711234 | Kristine Marie Krautscheid | Occupational Therapy Assistant | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2016-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
Find all providers in zip 97215 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.