KRYSTAL ANN FILLMORE
NPI 1073810321
Counselor - Professional in Corvallis, OR

Active since February 23, 2011
4455 NE HIGHWAY 20, CORVALLIS, OR 97330(541) 758-5900 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krystal Ann Fillmore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL ANN FILLMORE (NPI 1073810321) is an individual professional provider in Corvallis, Oregon, licensed in Oregon (C5456) and active in the NPI registry since February 2011. She maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1073810321
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRYSTAL ANN FILLMORE
Location Address4455 NE HIGHWAY 20Corvallis, OR 97330-9695
Mailing Address3415 Se Powell BlvdPortland, OR 97202-3371 · (503) 234-9591
Sole ProprietorNo
Enumeration DateFebruary 23, 2011
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1073810321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C5456
4455 NE HIGHWAY 20, Corvallis, OR 97330

Secondary Practice Location 1

Location 11900 Hines St SE Ste 190Salem, OR 97302-1356 · Phone (971) 208-9249

Accepted Insurance

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.

Social Worker
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor (Mental Health)
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330
Counselor
4455 NE HIGHWAY 20
CORVALLIS, OR 97330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Fillmore's NPI number?

The NPI number for Krystal Fillmore is 1073810321. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Krystal Fillmore located?

Krystal Fillmore practices at 4455 NE Highway 20, Corvallis, OR 97330. The listed phone number is (541) 758-5900.

What is Krystal Fillmore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Krystal Fillmore accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Krystal Fillmore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystal Fillmore was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.