KRYSTAL KEY (NPI# 1396118592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396118592 |
| Entity Type | Individual |
| Full Name | KRYSTAL KEY |
| Credential | IBCLC |
| Practice Address |
9920 Se Reedway St Portland OR 97266-4356 |
| Practice Telephone | 5033881576 |
| Mailing Telephone | 5033881576 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-82170 | OR | Other Service Providers |
| Street Address |
9920 SE REEDWAY ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609406057 | Ashley Treadwell | Lactation Consultant, Non-RN | 4529 Se 52nd Ave, Portland, OR 97206-4920 | 2020-01-23 |
| 1518424563 | Ulrikke Frances Haveron | Lactation Consultant, Non-RN | 7043 N Campbell Ave, Portland, OR 97217-5611 | 2019-02-26 |
| 1336606862 | Jessica Gaskill | Lactation Consultant, Non-RN | 6406 Ne 36th Ave, Portland, OR 97211-7234 | 2019-02-20 |
| 1124593454 | Sarah E Fuller | Lactation Consultant, Non-RN | 8910 Se Harrison St, Portland, OR 97216-1939 | 2018-10-13 |
| 1053886226 | Rosemary K Ragusa | Lactation Consultant, Non-RN | 6221 Se 49th Ave, Portland, OR 97206-6910 | 2018-10-03 |
| 1659866796 | Alimah Hall | Lactation Consultant, Non-RN | 6393 Se Yamhill St, Portland, OR 97215-2832 | 2018-06-29 |
| 1801336821 | Kaitlin Schofield | Lactation Consultant, Non-RN | 8000 Sw Brentwood St, #33, Portland, OR 97225-2351 | 2017-02-24 |
| 1275072563 | Sonya M Horowitz | Lactation Consultant, Non-RN | 3822 Sw Alice St, Portland, OR 97219-5343 | 2017-02-20 |
| 1760838890 | Lindsey Malatesta Goodman | Lactation Consultant, Non-RN | 1226 Se 86th Ave, Portland, OR 97216-1332 | 2016-05-07 |
| 1194185108 | Michelle Devlin | Lactation Consultant, Non-RN | 1012 Cameron Way, Portland, TN 37148-5180 | 2016-03-03 |
| 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.