Individual ProviderHeba KhalidSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371(503) 234-9591(971) 678-6656PECOS EnrollmentBased on the most recent information from CMS, provider Heba Khalid 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 ID1265975338Provider TypeIndividualFull NameKhalid, HebaGenderFemaleSole ProprietorNoEnumeration Date11/22/2016Last Updated11/22/2016Contact InformationPractice LocationPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(503) 234-9591FaxUnlisted FaxMailing LocationMailing Address5914 SE Lexington St, Portland, OR 97206-8106Phone(971) 678-6656FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer