Healthcare Provider Details

I. General information

NPI: 1093229627
Provider Name (Legal Business Name): KRISTI LYNN CHECK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2017
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9670 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR
97005-3307
US

IV. Provider business mailing address

PO BOX 82819
PORTLAND OR
97282-0819
US

V. Phone/Fax

Practice location:
  • Phone: 971-229-4009
  • Fax: 866-324-6009
Mailing address:
  • Phone: 503-233-5405
  • Fax: 503-233-2692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC7940
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: