Individual ProviderMaureen WieserSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371(503) 234-7591PECOS EnrollmentBased on the most recent information from CMS, provider Maureen Wieser 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 ID1164770020Provider TypeIndividualFull NameWieser, MaureenGenderFemaleSole ProprietorNoEnumeration Date8/27/2012Last Updated8/27/2012Contact InformationPractice LocationPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(503) 234-7591FaxUnlisted FaxMailing LocationMailing Address4378 S Elliott Prairie Rd, Woodburn, OR 97071-8753PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer