Individual ProviderLisa Renee JonesCounselorBehavioral Health & Social Service ProvidersPractice Address5008 NE Killingworth, Portland, OR 97220(503) 402-8116(503) 255-1232PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Renee Jones 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 ID1134247216Provider TypeIndividualFull NameJones, Lisa ReneeCredentialQMHAGenderFemaleSole ProprietorYesEnumeration Date3/27/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5008 NE Killingworth, Portland, OR 97220Phone(503) 402-8116FaxUnlisted FaxMailing LocationMailing Address553 NE 93rd Ave, Portland, OR 97220-4537Phone(503) 255-1232FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer