KRYSTAL VELAZQUEZ
NPI 1013444215
Counselor - Mental Health in Portland, OR
Active since May 18, 2017
17720 NE HALSEY ST STE A, PORTLAND, OR 97230(503) 654-7654(503) 654-7333 Get Directions Write a Review
About Krystal Velazquez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTAL VELAZQUEZ (NPI 1013444215) is an individual mental health provider in Portland, Oregon and active in the NPI registry since May 2017.
NPPES Registry Identity
NPI1013444215
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRYSTAL VELAZQUEZ
Location Address17720 NE HALSEY ST STE APortland, OR 97230-6771
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 654-7654
Fax(503) 654-7333
Sole ProprietorNo
Enumeration DateMay 18, 2017
Last NPPES UpdateApril 30, 20213 updates tracked since enumeration
✔ NPI 1013444215 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17720 NE HALSEY ST STE A, Portland, OR 97230
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013444215, enumerated as an "individual" on May 18, 2017.
The provider is located at 17720 NE HALSEY ST STE A PORTLAND, OR 97230 and the phone number is (503) 654-7654.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.