Individual ProviderDaniel B VazquezCounselorBehavioral Health & Social Service ProvidersPractice Address419 E 7th St Ste 207, The Dalles, OR 97058-2676(541) 296-5452PECOS EnrollmentBased on the most recent information from CMS, provider Daniel B Vazquez 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 ID1477097863Provider TypeIndividualFull NameVazquez, Daniel BGenderMaleSole ProprietorNoEnumeration Date12/5/2016Last Updated12/5/2016Contact InformationPractice LocationPractice Address419 E 7th St Ste 207, The Dalles, OR 97058-2676Phone(541) 296-5452Fax(541) 296-1537Mailing LocationMailing Address419 E 7th St Ste 207, The Dalles, OR 97058-2676Phone(541) 296-5452Fax(541) 296-1537Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1699745794DescriptionMedicaidIssuerUnlistedOregon