Individual ProviderPatricio Ivan ArmendarizCounselorBehavioral Health & Social Service ProvidersPractice Address8383 NE Sandy Blvd, Suite 110b, Portland, OR 97220(971) 373-4041(971) 373-4085PECOS EnrollmentBased on the most recent information from CMS, provider Patricio Ivan Armendariz 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 2 days ago.Profile DetailsProvider ID1407512940Provider TypeIndividualFull NameArmendariz, Patricio IvanGenderMaleSole ProprietorNoEnumeration Date11/9/2021Last Updated6/30/2022Contact InformationPractice LocationPractice Address8383 NE Sandy Blvd, Suite 110b, Portland, OR 97220Phone(971) 373-4041Fax(971) 373-5285Mailing LocationMailing Address8383 NE Sandy Blvd, Suite 110b, Portland, OR 97220Phone(971) 373-4085Fax(971) 373-5285Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR7581Oregon