Barbara Ann Kennedy | Portland, OR • PECOS Search

Barbara Ann Kennedy

Counselor

Behavioral Health & Social Service Providers

8383 NE Sandy Blvd, Suite 205, Portland, OR 97220-4948

(503) 253-0964 (503) 261-8131

PECOS Enrollment

Based on the most recent information from CMS, provider Barbara Ann Kennedy 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
1467537027
Provider Type
Individual
Full Name
Kennedy, Barbara Ann
Title
Miss
Credential
BARBARA KENNEDY, LPC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/25/2006
Last Updated
7/9/2007

Contact Information

Practice Location

8383 NE Sandy Blvd, Suite 205, Portland, OR 97220-4948

Unlisted Fax

Mailing Location

3633 NE 133rd Ave, Portland, OR 97230-2840

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CO254 Oregon