Individual ProviderIan MackaySocial WorkerBehavioral Health & Social Service ProvidersPractice Address1904 SE Division St, Portland, OR 97202(503) 517-8663PECOS EnrollmentBased on the most recent information from CMS, provider Ian Mackay is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1306365440Provider TypeIndividualFull NameMackay, IanGenderMaleSole ProprietorNoEnumeration Date9/9/2017Last Updated6/27/2018Contact InformationPractice LocationPractice Address1904 SE Division St, Portland, OR 97202Phone(503) 517-8663FaxUnlisted FaxMailing LocationMailing Address1904 SE Division St, Portland, OR 97202-1146Phone(503) 517-8663FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer