MEDICARE: KRISTINE NICHOLLE ZAPPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2869	MN
2	101YM0800X	Mental Health Counselor	C7331	OR

General Provider Information

NPI Number	:	1508471442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE NICHOLLE ZAPPA

Provider Business Mailing Address
First Line	:	5020 NE 47TH PL
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97218-2000
Country	:	US
Telephone Number	:	612-208-8186
Fax Number	:

Provider Business Practice Location Address
First Line	:	2632 SE 25TH AVE STE J
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97202-1285
Country	:	US
Telephone Number	:	612-208-8186
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	08/21/2025

Similar Medicare Providers

1811841687 — WILD FOLIAGE MASSAGE & BOTANICALS LLC
Practice Location Address:

2632 SE 25TH AVE STE G
PORTLAND, OR
97202-1285

Practice Phone: 512-809-3498
Practice Fax:

1700737285 — SHAINA LEE ZEIGER
Practice Location Address:

2632 SE 25TH AVE STE G
PORTLAND, OR
97202-1285

Practice Phone: 510-541-2031
Practice Fax:

1417751363 — EMPOWER WHO ARE YOU THERAPY
Practice Location Address:

2632 SE 25TH AVE STE J
PORTLAND, OR
97202-1285

Practice Phone: 503-482-8636
Practice Fax:

1356208581 — REYNA KOHL LMT
Practice Location Address:

2632 SE 25TH AVE STE G
PORTLAND, OR
97202-1285

Practice Phone: 512-809-3498
Practice Fax:

1396338463 — KATHERYNE LEWIS LMHC, LPC
Practice Location Address:

3930 N MONTANA AVE UNIT 4
PORTLAND, OR
97227-1285

Practice Phone: 503-908-4376
Practice Fax: 855-469-3430

1902750557 — HAUGH CHIROPRACTIC & MASSAGE LLC
Practice Location Address:

2700 SE 26TH AVE STE C
PORTLAND, OR
97202-1288

Practice Phone: 971-529-6533
Practice Fax:

Directions to “ KRISTINE NICHOLLE ZAPPA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.