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CRYSTAL WINK
NPI 1144963679
Student in an Organized Health Care Education/Training Program in Kelso, WA

Active since April 13, 2022
305 PACIFIC AVE S STE 102, KELSO, WA 98626(360) 423-0203(360) 577-0187 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Wink NPPES

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

CRYSTAL WINK (NPI 1144963679) is an individual student in an organized health care education/training program in Kelso, Washington and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1144963679
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL WINK
Location Address305 PACIFIC AVE S STE 102Kelso, WA 98626-1638
Mailing AddressPo Box 1847Longview, WA 98632-8140 · (360) 353-9369 · Fax (360) 577-0187
Phone(360) 423-0203
Fax(360) 577-0187
Sole ProprietorNo
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1144963679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
305 PACIFIC AVE S STE 102, Kelso, WA 98626
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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.

ARIEL JONES
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
SAVANNAH E ANDREWS
Student in an Organized Health Care Education/Training Program
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203
KENNETH CASE CDPT
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
CATHY LUDAHL CDP
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
MR. PAUL TRAVIS KERN CDAC
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
MR. JAMES ANTHONY LAPORTA CDPT
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 577-7442
TAMARA HARTGROVE SUDP
Counselor (Addiction (Substance Use Disorder))
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203
KATLYNN FEAGANS
Social Worker (Clinical)
305 PACIFIC AVE S STE 102
KELSO, WA 98626
Cowlitz County (360) 423-0203

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 Crystal Wink's NPI number?

The NPI number for Crystal Wink is 1144963679. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Crystal Wink located?

Crystal Wink practices at 305 Pacific Ave S Ste 102, Kelso, WA 98626. The listed phone number is (360) 423-0203.

What is Crystal Wink's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Crystal Wink was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.