Individual provider · Type 1 NPI

Wilvy Krogstad

Mental Health Counselor · Portland, OR

NPI number 1497102289 Active

Practice location

17710 NE Halsey St
Portland, OR 97230-6734

Fax (971) 293-3469

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1497102289

Wilvy Krogstad's National Provider Identifier is 1497102289, issued on May 21, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 21, 2022.