MRS. KIM M BUSTAMANTE CADC II, QMHA
NPI 1124294533
Counselor - Addiction (Substance Use Disorder) in Salem, OR

Active since May 06, 2008
3321 HAROLD DRIVE, SALEM, OR 97305(503) 363-2021(503) 363-4820 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kim M Bustamante Cadc Ii, Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KIM M BUSTAMANTE CADC II, QMHA (NPI 1124294533) is an individual addiction (substance use disorder) provider in Salem, Oregon and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1124294533
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. KIM M BUSTAMANTECredential: CADC II, QMHA
Location Address3321 HAROLD DRIVESalem, OR 97305
Mailing Address3321 Harold Dr NeSalem, OR 97305-1339 · (503) 363-2021 · Fax (503) 363-4820
Fax(503) 363-4820
Sole ProprietorNo
Enumeration DateMay 6, 2008
Last NPPES UpdateNovember 16, 2012
NPI 1124294533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3321 HAROLD DRIVE, Salem, OR 97305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Bustamante's NPI number?

The NPI number for Kim Bustamante is 1124294533. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Kim Bustamante located?

Kim Bustamante practices at 3321 Harold Drive, Salem, OR 97305. The listed phone number is (503) 363-2021.

What is Kim Bustamante's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kim Bustamante was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.