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NPI Code Detail

MEDICARE: DR. KRYSTAL LYNN LA PLANTE DC

MEDICARE: DR. KRYSTAL LYNN LA PLANTE DC
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
1111N00000XChiropractor6078OR

General Provider Information

NPI Number : 1144841982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRYSTAL LYNN LA PLANTE DC
Provider Business Mailing Address
First Line : 5308 SE RHONE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2962
Country : US
Telephone Number : 760-429-4226
Fax Number : 503-775-2451
Provider Business Practice Location Address
First Line : 5308 SE RHONE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2962
Country : US
Telephone Number : 760-429-4226
Fax Number : 503-775-2451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2020
Last Update Date : 12/12/2025

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