Individual ProviderAutumn Ginty-WheelerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1904 SE Division St, Portland, OR 97202-1146(503) 517-8663PECOS EnrollmentBased on the most recent information from CMS, provider Autumn Ginty-Wheeler 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 ID1225709371Provider TypeIndividualFull NameGinty-Wheeler, AutumnGenderFemaleSole ProprietorNoEnumeration Date9/27/2021Last Updated9/27/2021Contact InformationPractice LocationPractice Address1904 SE Division St, Portland, OR 97202-1146Phone(503) 517-8663FaxUnlisted FaxMailing LocationMailing Address1904 SE Division St, Portland, OR 97202-1146Phone(503) 517-8663FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer