KIM MARIE VAN EATON (CADC I, CRM, QMHA) – Addiction (Substance Use Disorder) Counselor, NPI 1417292863

Addiction (Substance Use Disorder) Counselor

KIM MARIE VAN EATON (CADC I, CRM, QMHA) is a healthcare provider. based in Wilsonville, Oregon. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials CADC I, CRM, QMHA. They hold a License No. T-21-1331 (OR). The NPI Number for KIM MARIE VAN EATON (CADC I, CRM, QMHA) is 1417292863

Main info

Female

Sole Proprietor

Name

KIM MARIE VAN EATON (CADC I, CRM, QMHA)

NPI

1417292863

Phone

(503) 855-3860

Address

11520 SW ZURICH ST

Enumeration Date

11 December 2012

Last Update Date

25 September 2023

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience55

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KIM MARIE VAN EATON (CADC I, CRM, QMHA)

11520 SW ZURICH ST
WILSONVILLE, OR 970707383
Phone: (503) 855-3860
Type: Mailing
2415 SE 43RD AVE STE 100
PORTLAND, OR 972061666
Phone: (503) 238-0705
Type: Location
380 NW 6TH AVE
ESTACADA, OR 970237713
Phone: (877) 302-7149
Type: Location
5040 SE 82nd Ave
Portland, OR 972664802
Phone: (877) 302-7149
Type: Location
10920 SW BARBUR BLVD
PORTLAND, OR 972198600
Phone: (503) 244-4500
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97070)

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Reviews

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Frequently asked questions

Can I use this page to confirm KIM MARIE VAN EATON (CADC I, CRM, QMHA)'s NPI?

Yes. KIM MARIE VAN EATON (CADC I, CRM, QMHA) is listed with NPI 1417292863 in the public NPI dataset.

Is KIM MARIE VAN EATON (CADC I, CRM, QMHA) still practicing?

KIM MARIE VAN EATON (CADC I, CRM, QMHA) is currently listed as active in the public NPI registry.

What taxonomy line describes KIM MARIE VAN EATON (CADC I, CRM, QMHA)?

For research purposes, treat KIM MARIE VAN EATON (CADC I, CRM, QMHA) as Addiction (Substance Use Disorder) Counselor in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect KIM MARIE VAN EATON (CADC I, CRM, QMHA) on a map?

Expect Wilsonville, Oregon as a primary anchor for KIM MARIE VAN EATON (CADC I, CRM, QMHA) unless the record lists multiple sites.

Why does KIM MARIE VAN EATON (CADC I, CRM, QMHA) have multiple addresses?

6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.