Individual ProviderAllucardo GreeneSocial WorkerBehavioral Health & Social Service ProvidersPractice Address10701 NE Heritage Pkwy Unit 208, Hillsboro, OR 97006-5014(406) 272-6546PECOS EnrollmentBased on the most recent information from CMS, provider Allucardo Greene 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 ID1275372997Provider TypeIndividualFull NameGreene, AllucardoGenderMaleSole ProprietorNoEnumeration Date5/22/2024Last Updated6/6/2024Contact InformationPractice LocationPractice Address10701 NE Heritage Pkwy Unit 208, Hillsboro, OR 97006-5014Phone(406) 272-6546FaxUnlisted FaxMailing LocationMailing Address10701 NE Heritage Pkwy Unit 208, Hillsboro, OR 97006-5014Phone(406) 272-6546FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseA15019OregonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer