Search › Oregon › 101YA0400X
Kim Bustamante, CADC II, QMHA
NPI 1124294533 · on the registry since 2008
Practice
- Address
- 3321 Harold Drive
Salem, OR 97305 - Phone
- (503) 363-2021
- Fax
- (503) 363-4820
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YM0800X
171M00000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon