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CRISSY K PHOMMACHACK
NPI 1336017896
Counselor - School in Happy Valley, OR

Active since October 27, 2025
14843 SE PARKLANE DR APT 146, HAPPY VALLEY, OR 97015(503) 575-5130 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crissy K Phommachack NPPES

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

CRISSY K PHOMMACHACK (NPI 1336017896) is an individual school provider in Happy Valley, Oregon, licensed in Oregon (529810) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1336017896
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameCRISSY K PHOMMACHACK
Location Address14843 SE PARKLANE DR APT 146Happy Valley, OR 97015-5537
Mailing Address2735 Ne 82nd AvePortland, OR 97220-5304
Phone(503) 575-5130
Sole ProprietorNo
Enumeration DateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1336017896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in OR · 529810
14843 SE PARKLANE DR APT 146, Happy Valley, OR 97015
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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 Crissy Phommachack's NPI number?

The NPI number for Crissy Phommachack is 1336017896. It was assigned to this individual provider in the NPPES registry on October 27, 2025.

Where is Crissy Phommachack located?

Crissy Phommachack practices at 14843 SE Parklane Dr Apt 146, Happy Valley, OR 97015. The listed phone number is (503) 575-5130.

What is Crissy Phommachack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Crissy Phommachack was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.