Individual ProviderWilliam SwansonCounselorBehavioral Health & Social Service ProvidersPractice Address10945 NE Eugene St, Portland, OR 97220-2926(503) 756-2115PECOS EnrollmentBased on the most recent information from CMS, provider William Swanson 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 ID1124690193Provider TypeIndividualFull NameSwanson, WilliamGenderMaleSole ProprietorYesEnumeration Date7/10/2021Last Updated7/10/2021Contact InformationPractice LocationPractice Address10945 NE Eugene St, Portland, OR 97220-2926Phone(503) 756-2115FaxUnlisted FaxMailing LocationMailing Address10945 NE Eugene St, Portland, OR 97220-2926PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer