Individual ProviderLaura KadingPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-4373PECOS EnrollmentBased on the most recent information from CMS, provider Laura Kading is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1073983490Provider TypeIndividualFull NameKading, LauraTitleMrs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date9/28/2015Last Updated1/4/2019Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-4373Fax(503) 494-7556Mailing LocationMailing Address3181 SW Sam Jackson Blvd, 3181 Sw Sam Jackson Blvd, Portland, OR 97239-4501Phone(503) 494-4373Fax(503) 494-7556Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA183923OregonCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-05997North Carolina