Individual ProviderPatrick HarrySocial WorkerBehavioral Health & Social Service ProvidersPractice Address1818 SE Division St, Portland, OR 97202-1159(503) 317-6698(503) 238-0769PECOS EnrollmentBased on the most recent information from CMS, provider Patrick Harry 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 yesterday at 12:57 PM.Profile DetailsProvider ID1033459110Provider TypeIndividualFull NameHarry, PatrickGenderMaleSole ProprietorNoEnumeration Date2/26/2013Last Updated2/26/2013Contact InformationPractice LocationPractice Address1818 SE Division St, Portland, OR 97202-1159Phone(503) 317-6698FaxUnlisted FaxMailing LocationMailing AddressPO Box 8459, Portland, OR 97207-8459Phone(503) 238-0769FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer