Individual
SHAWN KEVIN STONE CALF HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R/CRM
Contact information
Practice address
620 NE 2ND ST, GRESHAM, OR 97030-7514
(971) 274-3757
(503) 912-3757
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-CRM-203
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2917
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500824424
—
OR
Enumeration date
02/19/2020
Last updated
01/16/2024
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