Jeffery Franklin Foster | Portland, OR • PECOS Search

Jeffery Franklin Foster

Counselor

Behavioral Health & Social Service Providers

131 NE 102nd Ave, Portland, OR 97220-4167

(503) 253-6754 (360) 326-3816

PECOS Enrollment

Based on the most recent information from CMS, provider Jeffery Franklin Foster 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 2 days ago.

Profile Details

Provider ID
1366464570
Provider Type
Individual
Full Name
Foster, Jeffery Franklin
Title
Mr.
Credential
QMHP

Gender
Male
Sole Proprietor
No
Enumeration Date
7/24/2006
Last Updated
7/8/2007

Contact Information

Practice Location

131 NE 102nd Ave, Portland, OR 97220-4167

(503) 251-1344

Mailing Location

1712 SE 111th Ct, Vancouver, WA 98664-6200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer