Individual ProviderRandall Stephen KneeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371(503) 200-9727PECOS EnrollmentBased on the most recent information from CMS, provider Randall Stephen Knee 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 ID1164732004Provider TypeIndividualFull NameKnee, Randall StephenTitleMr.CredentialMSWGenderMaleSole ProprietorNoEnumeration Date10/13/2010Last Updated10/26/2010Contact InformationPractice LocationPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(503) 200-9727Fax(503) 674-3620Mailing LocationMailing Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(503) 200-9727Fax(503) 674-3620Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer