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EASTON HALLOCK CADC II, QMHA II
NPI 1467220236
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since December 12, 2023
1217 NE BURNSIDE RD STE 701, GRESHAM, OR 97030(503) 866-0877(503) 771-2436 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, Dec 12, 2023 (2 updates tracked since 2023).

About Easton Hallock Cadc Ii, Qmha Ii NPPES

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

EASTON HALLOCK CADC II, QMHA II (NPI 1467220236) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (24-07-20450) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1467220236
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEASTON HALLOCKCredential: CADC II, QMHA II
Location Address1217 NE BURNSIDE RD STE 701Gresham, OR 97030-5770
Mailing Address10117 Se Sunnyside Rd Ste FClackamas, OR 97015-7708 · (503) 866-0877
Phone(503) 866-0877
Fax(503) 771-2436
Sole ProprietorNo
Enumeration DateDecember 12, 2023
Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1467220236 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 · 24-07-20450
Also ListedPeer SpecialistTaxonomy 175T00000X
1217 NE BURNSIDE RD STE 701, Gresham, OR 97030
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Other Providers at the Same Location NPPES 16

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

KARISSA ROSE MATHEWS CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
BETHANIE WILSON CRM
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
GWENDOLYN JOY KOCHAN LMT
Massage Therapist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 665-8959
IZABELLA JOHNSON QMHA-SOCIAL WORK
Counselor (Mental Health)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
AARON PETRARCA
Peer Specialist
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971
GOLDEN RIBBON ACUPUNCTURE, LLC
Clinic/Center (Health Service)
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 839-5510
SHANNON WELSH CRM, CADC
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 866-0877
ELIJAH ANDERSEN CRM
Counselor (Addiction (Substance Use Disorder))
1217 NE BURNSIDE RD STE 701
GRESHAM, OR 97030
Multnomah County (503) 740-1971

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 Easton Hallock's NPI number?

The NPI number for Easton Hallock is 1467220236. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Easton Hallock located?

Easton Hallock practices at 1217 NE Burnside Rd Ste 701, Gresham, OR 97030. The listed phone number is (503) 866-0877.

What is Easton Hallock'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 Easton Hallock was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.