Look up the most recent NPI and PECOS records

Mindful Oregon Clinic

Social Worker

Behavioral Health & Social Service Providers

1915 NE Stucki Ave Ste 308, Hillsboro, OR 97006-6951

PECOS Enrollment

Based on the most recent information from CMS, provider Mindful Oregon Clinic 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 4 days ago.

Profile Details

Provider ID
1427887744
Provider Type
Organization
Full Name
Mindful Oregon Clinic

Subpart
No
Enumeration Date
7/26/2024
Last Updated
10/27/2024

Contact Information

Practice Location

1915 NE Stucki Ave Ste 308, Hillsboro, OR 97006-6951

(971) 270-0116

Unlisted Fax

Mailing Location

1915 NE Stucki Ave Ste 308, Hillsboro, OR 97006-6951

(971) 325-7537

Unlisted Fax

Authorized Official

Yekekar, Shirin (Co-Founder & Ceo)

(971) 270-0116

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Mindful Oregon Clinic

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Pittman, Kendra

Baldwin, Shauntara

Brown, Colin

Greene, Allucardo

Rizo, Regina C.

Wolf, Morganna Wynter

Azad, Rimina

Zukowski, Rachel

Carter, Sharon Suzanne

Drwenski, Andrew