Individual ProviderLoren BrennerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371(208) 939-1864PECOS EnrollmentBased on the most recent information from CMS, provider Loren Brenner 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 ID1215292602Provider TypeIndividualFull NameBrenner, LorenGenderMaleSole ProprietorNoEnumeration Date7/11/2012Last Updated7/11/2012Contact InformationPractice LocationPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(208) 939-1864FaxUnlisted FaxMailing LocationMailing Address3415 SE Powell Blvd, Portland, Or 97202, Corvallis, OR 97330Phone(208) 939-1864FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerOregon