Individual ProviderEvelyn Reese AcopanCounselorBehavioral Health & Social Service ProvidersPractice Address10373 NE Hancock St Ste 200, Portland, OR 97220-3873(503) 253-6754(503) 238-0769PECOS EnrollmentBased on the most recent information from CMS, provider Evelyn Reese Acopan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003175332Provider TypeIndividualFull NameAcopan, Evelyn ReeseCredentialMAGenderFemaleSole ProprietorNoEnumeration Date5/7/2012Last Updated9/4/2013Contact InformationPractice LocationPractice Address10373 NE Hancock St Ste 200, Portland, OR 97220-3873Phone(503) 253-6754Fax(503) 253-8020Mailing LocationMailing AddressPO Box 8459, Portland, OR 97207-8459Phone(503) 238-0769FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer