Stephanie Mathis | Redmond, OR • PECOS Search

Stephanie Mathis

Counselor

Behavioral Health & Social Service Providers

1470 NW 4th St, Redmond, OR 97756-1366

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Mathis does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134992142
Provider Type
Individual
Full Name
Mathis, Stephanie
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/1/2023
Last Updated
11/1/2023

Contact Information

Practice Location

1470 NW 4th St, Redmond, OR 97756-1366

Unlisted Fax

Mailing Location

1470 NW 4th St, Redmond, OR 97756-1366

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer