Nathan James Earle | Portland, OR • PECOS Search

Nathan James Earle

Social Worker

Behavioral Health & Social Service Providers

3415 SE Powell Blvd, Portland, OR 97202-3371

(503) 813-7778 (503) 970-0066

PECOS Enrollment

Based on the most recent information from CMS, provider Nathan James Earle does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1326241076
Provider Type
Individual
Full Name
Earle, Nathan James
Credential
M.S.W.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/8/2007
Last Updated
1/8/2009

Contact Information

Practice Location

3415 SE Powell Blvd, Portland, OR 97202-3371

Unlisted Fax

Mailing Location

3021 SE Division St, Portland, OR 97202-1476

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Oregon