CRYSTAL DYANN LARA (NPI# 1669011417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669011417 |
| Entity Type | Individual |
| Full Name | CRYSTAL DYANN LARA |
| Credential | CIT |
| Practice Address |
32773 W Walls Rd Hermiston OR 97838-6364 |
| Mailing Address |
32405 Diagonal Rd Hermiston OR 97838-7503 |
| Practice Telephone | 5415672949 |
| Practice Fax Number | 5416563046 |
| Mailing Telephone | 5415672949 |
| Mailing Fax Number | 5416563046 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942719208 | Crystal Mirosalba Lara | Speech-Language Pathologist | 1514 N Zaragoza Rd Ste B4, El Paso, TX 79936-8041 | 2017-09-29 |
| Street Address |
32773 W WALLS RD |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-6364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207080 | Dena Adrienne Faulstich | Counselor | 32773 W Walls Rd, Hermiston, OR 97838-6364 | 2019-04-02 |
| 1124581541 | Pearla Diana Pena | Counselor | 32773 W Walls Rd, Hermiston, OR 97838-6364 | 2019-04-11 |
| 1700349131 | Amanda Jo Kauffman | Counselor | 32773 W Walls Rd, Hermiston, OR 97838-6364 | 2019-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396207080 | Dena Adrienne Faulstich | Counselor | 32773 W Walls Rd, Hermiston, OR 97838-6364 | 2019-04-02 |
| 1518448513 | Jennifer Alane Escobedo | Counselor | 915 S.e. Columbia Drive, Hermiston, OR 97882 | 2018-08-27 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1417195124 | Debra A. Christy | Counselor | 955 W. Orchard Ave., Hermiston, OR 97838 | 2009-02-03 |
| 1588280606 | Randel Ripka | Counselor | 32405 Diagonal Rd, Hermiston, OR 97838-7503 | 2020-06-24 |
| 1528684651 | Gay Schefstrom | Counselor | 32405 Diagonal Rd, Hermiston, OR 97838-7503 | 2020-06-24 |
| 1144877630 | Jennifer D Caswell | Counselor | 32405 Diagonal Rd, Hermiston, OR 97838-7503 | 2019-08-20 |
| 1205490786 | Mary Kyle | Counselor | 32405 Diagonal Rd, Hermiston, OR 97838-7503 | 2019-04-30 |
| 1568026052 | Dixie Zyph | Counselor | 32405 Diagonal Rd, Hermiston, OR 97838-7503 | 2019-04-30 |
| 1972066116 | Roy Gomez | Counselor | 32405 Diagonal Rd, Hermiston, OR 97838-7503 | 2019-04-12 |
| Find all providers in HERMISTON | ||||
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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.