Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962380790 Individual Practitioner

Krystal Toderick , MED

Counselor - School • Portland, OR

Professional Overview & Biography Verified Profile Summary

Krystal Toderick, MED is a registered healthcare professional specializing in Counselor - School in Portland, OR. Practice services are available at 5405 SE WOODWARD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5405 Se Woodward St

Portland, OR 972062199

Telephone 5039165140
Associated Practice Facility / Clinic
🏢 Multnomah County Facility NPI 1942590930

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - School in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
137 Specialists

Practicing in Portland, OR (189 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-21
Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

State License OR 512576

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
David Sherden , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013034875

Certified Athletic Trainer

Moira Finnegan , MS, CCC-SLP

Speech-Language Pathologist

NPI 1023840014

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Stephanie Loveland , ATC

Specialist/Technologist - Athletic Trainer

NPI 1215561956

Certified Athletic Trainer

Megan Moyer

Psychologist - School

NPI 1528946365
Tearale Triplett

Counselor - School

NPI 1821933144

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2025

Registered at 5405 SE WOODWARD ST, PORTLAND, OR 972062199 (Tel: 5039165140)

📍
Updated Business Mailing Address August 21, 2025

Registered at 501 N DIXON ST, PORTLAND, OR 972271876

👤
Provider Name / Credentials Updated August 21, 2025

Recorded as KRYSTAL TODERICK, M.ED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2025

Counselor (License #512576 in OR)

🟢
Initial NPI Registration & Enumeration August 21, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962380790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2025
Last Update: August 21, 2025
Sole Proprietor: Yes

Mailing Address

501 N Dixon St

Portland, OR 972271876

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.