Individual ProviderGreg P PorterSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3550 SE Woodward St, Portland, OR 97202-1552(503) 234-7532PECOS EnrollmentBased on the most recent information from CMS, provider Greg P Porter 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 yesterday at 12:57 PM.Profile DetailsProvider ID1417159781Provider TypeIndividualFull NamePorter, Greg PCredentialBAGenderMaleSole ProprietorYesEnumeration Date5/31/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3550 SE Woodward St, Portland, OR 97202-1552Phone(503) 234-7532Fax(503) 233-0187Mailing LocationMailing Address3550 SE Woodward St, Portland, OR 97202-1552Phone(503) 234-7532Fax(503) 233-0187Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer