Individual ProviderSeth S TeigeCounselorBehavioral Health & Social Service ProvidersPractice Address10714 NE Glisan St, Portland, OR 97220-4046(503) 256-2453(503) 645-9581PECOS EnrollmentBased on the most recent information from CMS, provider Seth S Teige 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 ID1093086076Provider TypeIndividualFull NameTeige, Seth SGenderMaleSole ProprietorNoEnumeration Date1/23/2012Last Updated1/23/2012Contact InformationPractice LocationPractice Address10714 NE Glisan St, Portland, OR 97220-4046Phone(503) 256-2453FaxUnlisted FaxMailing LocationMailing Address14600 NW Cornell Rd, Portland, OR 97229-5442Phone(503) 645-9581FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer