Kim M Bustamante in Salem - Addiction (substance Use Disorder)
Kim M Bustamante - NPI 1124294533
Kim M Bustamante is a Addiction (substance Use Disorder) in Salem, Oregon. Kim M Bustamante practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kim M Bustamante is 1124294533. The last update date is 2012-11-16.
Kim M Bustamante's current location address is 3321 Harold Dr Ne, Salem, Oregon. You can contact this provider via phone number 5033632021 and fax number 5033634820. The mailing address for Kim M Bustamante is 3321 Harold Dr Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim M Bustamante |
|---|---|
| Address | 3321 Harold Dr Ne, Salem, Oregon |
| Phone Number | 5033632021 |
| Fax Number | 5033634820 |
| Sole Proprietor | N |
| Credentials | CADC II, Q |
NPI Number Detail
| NPI Number | 1124294533 |
|---|---|
| Provider Enumeration Date | 2008-05-06 |
| Last Updated Date | 2012-11-16 |
Provider Mailing Address Detail
| Address | 3321 Harold Dr Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973051339 |
| Phone Number | 5033632021 |
| Fax Number | 5033634820 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kim M Bustamante by the Centers for Medicare & Medicaid Services?
The Kim M Bustamante has been issued the NPI (National Provider Identifier) 1124294533 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kim M Bustamante?
The Kim M Bustamante is physically situated at 3321 Harold Dr Ne, in the city of Salem, state of OR, with the postal code 973051339.
What is Kim M Bustamante's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kim M Bustamante is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124294533 to Kim M Bustamante?
The Kim M Bustamante received its 1124294533 assignment from the Centers for Medicare & Medicaid Services on 2008-05-06.
As of what date was the information pertaining to Kim M Bustamante, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kim M Bustamante, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-11-16.
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