1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Specialist
  6. NPI Profile

MISS CRYSTALLENE CELESTIAL MEDLIN LMT
NPI 1962760165
Specialist in Longview, WA

Active since April 25, 2012
1146 COMMERCE AVE, LONGVIEW, WA 98632(360) 577-6956 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Crystallene Celestial Medlin Lmt NPPES

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

MISS CRYSTALLENE CELESTIAL MEDLIN LMT (NPI 1962760165) is an individual specialist in Longview, Washington, licensed in Washington (MA60278590) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1962760165
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMISS CRYSTALLENE CELESTIAL MEDLINCredential: LMT
Location Address1146 COMMERCE AVELongview, WA 98632-3025
Mailing Address138 E Stock RdKelso, WA 98626-9763 · (360) 430-1484
Phone(360) 577-6956
Sole ProprietorNo
Enumeration DateApril 25, 2012
✔ NPI 1962760165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MA60278590
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1146 COMMERCE AVE, Longview, WA 98632
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE ELLIS
Massage Therapist
1146 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-6956
BRANDI MARIE CHILDERS LMP
Massage Therapist
1146 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-6956
ELIZABETH JOLIE BRASSFIELD
Family Medicine
1146 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 425-7712
DIANE R SPEED LMP
Massage Therapist
1146 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-6956
MRS. CARLY SCOTT LMP
Massage Therapist
1146 COMMERCE AVE
LONGVIEW, WA 98632
Cowlitz County (360) 577-6956

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 Crystallene Medlin's NPI number?

The NPI number for Crystallene Medlin is 1962760165. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Crystallene Medlin located?

Crystallene Medlin practices at 1146 Commerce Ave, Longview, WA 98632. The listed phone number is (360) 577-6956.

What is Crystallene Medlin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Crystallene Medlin was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.