Active NPI
Crystal Ann Basler, CADC I
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1700636289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 23-02-10647
- Practice address
- 11926 NE Sandy Blvd
Portland, OR 97220 - Phone
- (971) 601-5218
- NPI assigned
- Mar 26, 2024
- Last updated
- Oct 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23-02-10647 | OR | Primary |
Addresses
Primary practice location
11926 NE Sandy Blvd
Portland, OR 97220
Mailing address
10447 SE 23Rd Ave Apt B
Milwaukie, OR 97222-7500
Phone (971) 601-5218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791072000000",
"number": "1700636289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10447 SE 23RD AVE APT B",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227500",
"telephone_number": "971-601-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11926 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97220",
"telephone_number": "971-601-5218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASLER",
"first_name": "CRYSTAL",
"middle_name": "ANN",
"credential": "CADC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2026-10-04",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "23-02-10647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.