Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Ann Fillmore

Individual provider Professional Counselor · NPI 1073810321

Krystal Ann Fillmore is a Professional Counselor in Corvallis, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2011

Practice location Address checks out

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone: (541) 758-5900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Hines St Se Ste 190, Salem, OR 97302-1356 — (971) 208-9249

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C5456 (OR)

Record details

NPI number1073810321
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2011
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address3415 Se Powell Blvd, Portland, OR 97202-3371

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