Individual provider · Type 1 NPI

Evan C. Hiatt, CADCR/CRM/PSS/QMHA-R

Addiction (Substance Use Disorder) Counselor · Gresham, OR

NPI number 1689346769 Active

Practice location

620 NE 2nd St
Gresham, OR 97030-7514

Fax (503) 912-5740

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X20-CRM-280 (OR)
Mental Health Counselor 101YM0800X21-QMHA-R-1025 (OR)
Peer Specialist 175T00000XTHW000104413 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-21-713 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689346769

Evan C. Hiatt, CADCR/CRM/PSS/QMHA-R's National Provider Identifier is 1689346769, issued on Sep 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gresham, OR. The record was last updated on Mar 17, 2022.