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Amir Alexander Assasnik

Social Worker

Behavioral Health & Social Service Providers

16100 NW Cornell Rd # 220, Beaverton, OR 97006-7334

PECOS Enrollment

This provider is enrolled in PECOS as AMIR ASSASNIK.

Based on the most recent information from CMS, provider Amir Alexander Assasnik is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1467883371
Provider Type
Individual
Full Name
Assasnik, Amir Alexander
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/2/2013
Last Updated
8/18/2022

Contact Information

Practice Location

16100 NW Cornell Rd # 220, Beaverton, OR 97006-7334

(503) 878-8885

Unlisted Fax

Mailing Location

16100 NW Cornell Rd # 220, Beaverton, OR 97006-7334

(971) 500-6799

(503) 922-6676

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License L10735 Oregon

Amir Alexander Assasnik

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Coyle, John J

Mendoza, Sostenes Tito

Rizo, Regina C.

Yekekar, Shirin

Von Dollen, Zoe

Nowacki, Lindsey

Kaye, Chelsea N

Rex, Mary

Stokley, Frances

Irwin-Rugg, Amanda Lee