Trevor Micheal Pittman | Portland, OR • PECOS Search

Trevor Micheal Pittman

Social Worker

Behavioral Health & Social Service Providers

3550 SE Woodward St, Portland, OR 97202-1552

(503) 813-7765 (541) 990-0187

PECOS Enrollment

Based on the most recent information from CMS, provider Trevor Micheal Pittman 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1215139266
Provider Type
Individual
Full Name
Pittman, Trevor Micheal
Gender
Male

Sole Proprietor
Yes
Enumeration Date
6/1/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3550 SE Woodward St, Portland, OR 97202-1552

Unlisted Fax

Mailing Location

2137 NW Oak Grove Dr, Albany, OR 97321-9357

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer