Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Marie Van Eaton, CADCI, CRM, QMHA

Individual provider Community Health Worker · NPI 1417292863

Kim Marie Van Eaton, CADCI, CRM, QMHA is a Community Health Worker in Estacada, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
Specialties on file
2

Practice location Address checks out

380 NW 6th Ave
Estacada, OR 97023-7713
Phone: (877) 302-7149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5040 Se 82nd Ave, Portland, OR 97266-4802 — (877) 302-7149

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-21-1331 (OR)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1417292863
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCI , CRM , QMHA
Sole proprietorYes
NPI enumeratedDecember 11, 2012
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

Other providers in Estacada