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

Krystalyna Montano

Individual provider Surgical Physician Assistant · NPI 1477030989

Krystalyna Montano is a Physician Assistant in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

450 N Graham St
Portland, OR 97227-1682
Phone: (503) 413-4488
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Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1526 Atwood Ave Ste 200, Johnston, RI 02919-3289 — (401) 404-2975

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA55757 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA55757 (CA)

Record details

NPI number1477030989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2018
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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