KIM MARIE VAN EATON CADC I, CRM, QMHA
NPI 1417292863
Counselor - Addiction (Substance Use Disorder) in Estacada, OR

Active since December 11, 2012
380 NW 6TH AVE, ESTACADA, OR 97023(877) 302-7149 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Marie Van Eaton Cadc I, Crm, Qmha NPPES

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

KIM MARIE VAN EATON CADC I, CRM, QMHA (NPI 1417292863) is an individual addiction (substance use disorder) provider in Estacada, Oregon, licensed in Oregon (T-21-1331) and active in the NPI registry since December 2012. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1417292863
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIM MARIE VAN EATONCredential: CADC I, CRM, QMHA
Location Address380 NW 6TH AVEEstacada, OR 97023-7713
Mailing Address10920 Sw Barbur BlvdPortland, OR 97219-8600 · (503) 244-4500
Sole ProprietorYes
Enumeration DateDecember 11, 2012
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1417292863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · T-21-1331
Also ListedCommunity Health WorkerTaxonomy 172V00000X
380 NW 6TH AVE, Estacada, OR 97023

Secondary Practice Location 1

Location 15040 SE 82nd AvePortland, OR 97266-4802 · Phone (877) 302-7149

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
380 NW 6TH AVE
ESTACADA, OR 97023
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Counselor (Addiction (Substance Use Disorder))
380 NW 6TH AVE
ESTACADA, OR 97023
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023
Peer Specialist
380 NW 6TH AVE
ESTACADA, OR 97023

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 Van Eaton's NPI number?

The NPI number for Kim Van Eaton is 1417292863. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Kim Van Eaton located?

Kim Van Eaton practices at 380 NW 6th Ave, Estacada, OR 97023. The listed phone number is (877) 302-7149.

What is Kim Van Eaton'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 Van Eaton was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.