Individual ProviderElex Dyar TenneySocial WorkerBehavioral Health & Social Service ProvidersPractice Address3550 N Interstate Ave, Portland, OR 97227-1196(503) 331-6449PECOS EnrollmentBased on the most recent information from CMS, provider Elex Dyar Tenney 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 ID1215104401Provider TypeIndividualFull NameTenney, Elex DyarTitleMs.CredentialMSWGenderFemaleSole ProprietorNoEnumeration Date5/15/2008Last Updated5/15/2008Contact InformationPractice LocationPractice Address3550 N Interstate Ave, Portland, OR 97227-1196Phone(503) 331-6449Fax(503) 331-6445Mailing LocationMailing Address3550 N Interstate Ave, Portland, OR 97227-1196Phone(503) 331-6449Fax(503) 331-6445Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer