Individual ProviderAnna L KetchumCounselorBehavioral Health & Social Service ProvidersPractice Address401 E 3rd St, The Dalles, OR 97058-2562(541) 298-2101(503) 535-1150PECOS EnrollmentBased on the most recent information from CMS, provider Anna L Ketchum 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 ID1447643846Provider TypeIndividualFull NameKetchum, Anna LGenderFemaleSole ProprietorYesEnumeration Date3/9/2015Last Updated9/30/2019Contact InformationPractice LocationPractice Address401 E 3rd St, The Dalles, OR 97058-2562Phone(541) 298-2101FaxUnlisted FaxMailing LocationMailing Address1312 SW Washington St, Portland, OR 97205-2327Phone(503) 535-1150FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer