Individual ProviderNicole FricanoCounselorBehavioral Health & Social Service ProvidersPractice Address10373 NE Hancock St Ste 200, Portland, OR 97220-3873(503) 261-6137PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Fricano 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 ID1497952469Provider TypeIndividualFull NameFricano, NicoleGenderFemaleSole ProprietorYesEnumeration Date7/2/2007Last Updated12/7/2011Contact InformationPractice LocationPractice Address10373 NE Hancock St Ste 200, Portland, OR 97220-3873Phone(503) 261-6137FaxUnlisted FaxMailing LocationMailing Address543 SE 78th Ave, Portland, OR 97215-2302PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer