Individual
KIM MARIE VAN EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC I, CRM, QMHA
Contact information
Practice address
380 NW 6TH AVE, ESTACADA, OR 97023-7713
(877) 302-7149
Mailing address
10920 SW BARBUR BLVD, PORTLAND, OR 97219-8600
(503) 244-4500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-1331
OR
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/11/2012
Last updated
09/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us