Search › Oregon › 101YA0400X
Kim Van Eaton, CADC I, CRM, QMHA
NPI 1417292863 · on the registry since 2012 · sole proprietor
Practice
- Address
- 380 Nw 6th Ave
Estacada, OR 97023 - Phone
- (877) 302-7149
- Organisation at this address
- Assisted Living Concepts Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Additional practice sites
- 5040 Se 82nd Ave, Portland, OR
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 172V00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-25
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