Individual ProviderSheilagh DiezSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2801 N Gantenbein Ave, Portland, OR 97227-1623(503) 276-6500(503) 367-1424PECOS EnrollmentBased on the most recent information from CMS, provider Sheilagh Diez 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 ID1104591650Provider TypeIndividualFull NameDiez, SheilaghGenderFemaleSole ProprietorNoEnumeration Date8/16/2021Last Updated8/16/2021Contact InformationPractice LocationPractice Address2801 N Gantenbein Ave, Portland, OR 97227-1623Phone(503) 276-6500FaxUnlisted FaxMailing LocationMailing Address2240 SE 59th Ave, Portland, OR 97215-4016Phone(503) 367-1424FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer