Individual ProviderKendra PittmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address16100 NW Cornell Rd Ste 220, Beaverton, OR 97006-7334(503) 878-8885PECOS EnrollmentBased on the most recent information from CMS, provider Kendra Pittman 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 4 days ago.Profile DetailsProvider ID1497331631Provider TypeIndividualFull NamePittman, KendraGenderFemaleSole ProprietorNoEnumeration Date3/18/2021Last Updated3/18/2021Contact InformationPractice LocationPractice Address16100 NW Cornell Rd Ste 220, Beaverton, OR 97006-7334Phone(503) 878-8885Fax(971) 297-1360Mailing LocationMailing Address16100 NW Cornell Rd Ste 220, Beaverton, OR 97006-7334Phone(503) 878-8885Fax(971) 297-1360Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseL10259Oregon