Individual ProviderMadeline AmmarSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1915 NE Stucki Ave Ste 308, Beaverton, OR 97006-6951(971) 249-2149PECOS EnrollmentBased on the most recent information from CMS, provider Madeline Ammar 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 4 days ago.Profile DetailsProvider ID1275182909Provider TypeIndividualFull NameAmmar, MadelineGenderFemaleSole ProprietorYesEnumeration Date9/5/2019Last Updated7/25/2025Contact InformationPractice LocationPractice Address1915 NE Stucki Ave Ste 308, Beaverton, OR 97006-6951Phone(971) 249-2149Fax(503) 809-8458Mailing LocationMailing Address10350 N Vancouver Way # 5338, Portland, OR 97217-7530Phone(971) 249-2149Fax(503) 809-8458Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseL11333OregonCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer