Individual ProviderAmanda Kristine HoskinsCounselorBehavioral Health & Social Service ProvidersPractice Address10714 NE Glisan St, Portland, OR 97220-4046(503) 256-2453(503) 645-3581PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Kristine Hoskins 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 ID1487102166Provider TypeIndividualFull NameHoskins, Amanda KristineGenderFemaleSole ProprietorNoEnumeration Date9/12/2016Last Updated9/12/2016Contact InformationPractice LocationPractice Address10714 NE Glisan St, Portland, OR 97220-4046Phone(503) 256-2453Fax(503) 254-4271Mailing LocationMailing Address14600 NW Cornell Rd, Portland, OR 97229-5442Phone(503) 645-3581FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer