Individual ProviderJudith DolmatchSocial WorkerBehavioral Health & Social Service ProvidersPractice Address400 Fernwood Dr, Ashland, OR 97520-1612(541) 708-0766PECOS EnrollmentBased on the most recent information from CMS, provider Judith Dolmatch 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 3 days ago.Profile DetailsProvider ID1275949646Provider TypeIndividualFull NameDolmatch, JudithTitleMs.CredentialMSWGenderFemaleSole ProprietorYesEnumeration Date7/7/2014Last Updated7/7/2014Contact InformationPractice LocationPractice Address400 Fernwood Dr, Ashland, OR 97520-1612Phone(541) 708-0766FaxUnlisted FaxMailing LocationMailing Address400 Fernwood Dr, Ashland, OR 97520-1612PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense884Oregon