Bustamante, Kim M

Bustamante, Kim M is an individual health care provider with primary practice located at 3321 Harold Drive , Salem OR 97305. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bustamante, Kim M can be contacted via phone (503) 363-2021.

Contact Information

Primary practice address
3321 Harold Drive Salem OR 97305
Phone: (503) 363-2021
Fax: (503) 363-4820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon

Profile Details

NPI number 1124294533
LBN Legal business name Bustamante, Kim M
Credentials CADC II, QMHA
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Nov 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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