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Evan C Hiatt, CADCR/CRM/PSS/QMHA-R
Addiction (Substance Use Disorder) Counselor in Gresham, Oregon
NPI 1689346769

Evan C Hiatt is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Evan C Hiatt practices in Gresham, OR and has the professional credentials of CADCR/CRM/PSS/QMHA-R. The NPI Number for Evan C Hiatt is 1689346769 and holds a License No. 20-CRM-280 (Oregon).

The current practice location address for Evan C Hiatt is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740. You can also correspond with Evan C Hiatt through the mailing address at 1776 SW MADISON ST, PORTLAND, OR - 97205-1715 (mailing address contact number: 503-224-1044).

Location: 620 Ne 2Nd St, Gresham, OR, 97205-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689346769
Provider Name
Evan C Hiatt
Credential
CADCR/CRM/PSS/QMHA-R
Provider Entity Type
Individual
Gender
Male
Address
620 Ne 2Nd St, Gresham, OR, 97205-1715
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500799772 05 OR
500799708 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
Gresham
State
Oregon
Zip
97030-7514
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
1776 Sw Madison St
City
Portland
State
Oregon
Zip
97205-1715
Phone Number
503-224-1044
Fax Number
503-621-2235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
THW000104413 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
21-QMHA-R-1025 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
20-CRM-280 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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