Individual ProviderMarian FiremanPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-8617PECOS EnrollmentBased on the most recent information from CMS, provider Marian Fireman 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 2 days ago.Profile DetailsProvider ID1104831601Provider TypeIndividualFull NameFireman, MarianCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-8617FaxUnlisted FaxMailing LocationMailing Address12900 SW Westfall Rd, Sherwood, OR 97140-7209PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseMD14212OregonProvider IdentifiersIDDescriptionIssuerID093963DescriptionMedicaidIssuerUnlistedOregon