KRISTINE ELIN NYSTROM


Address: 4531 Se Belmont St, Suite 203, Portland, OR 97215-1675
Phone: 5033829654

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
C3385 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500676787 05

Other Providers KRISTINE NYSTROM

NPI Name Taxonomy Address Enumeration
1356618052 Kristine Marie Nystrom Pharmacist 9 Central Ave E, Saint Michael, MN 55376-9520 2011-11-23

Office Location

Street Address 4531 SE BELMONT ST
SUITE 203
City PORTLAND
State OR
Zip Code 97215-1675

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City PORTLAND
Zip Code 97215

Improve Information

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Dataset Information

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.

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