Individual ProviderJohn Benjamin HoersterSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3550 SE Woodward St, Portland, OR 97202-1552(503) 517-8663PECOS EnrollmentBased on the most recent information from CMS, provider John Benjamin Hoerster 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 ID1255643185Provider TypeIndividualFull NameHoerster, John BenjaminCredentialM.S.W.GenderMaleSole ProprietorYesEnumeration Date7/8/2010Last Updated7/8/2010Contact InformationPractice LocationPractice Address3550 SE Woodward St, Portland, OR 97202-1552Phone(503) 517-8663FaxUnlisted FaxMailing LocationMailing Address3550 SE Woodward St, Portland, OR 97202-1552Phone(503) 517-8663FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseHOERSJB193CGWashington