SearchOregon207R00000X

Krysta St Michell, MEDICAL STUDENT

NPI 1700519550 · on the registry since 2022

Practice

Address
2730 Sw Moody Avenue Portland, Or
Portland, OR 97201
Phone
(541) 510-3165

Additional practice sites

  • 890 Oak St Se, Salem, OR

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon