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Cherry V Foultner

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1313 NE 134th St Ste 220a, Vancouver, WA 98685-2722

PECOS Enrollment

This provider is enrolled in PECOS as CHERRY FOULTNER.

Based on the most recent information from CMS, provider Cherry V Foultner 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 2 days ago.

Profile Details

Provider ID
1538666532
Provider Type
Individual
Full Name
Foultner, Cherry V
Gender
Female

Sole Proprietor
No
Enumeration Date
4/7/2018
Last Updated
8/9/2021

Contact Information

Practice Location

1313 NE 134th St Ste 220a, Vancouver, WA 98685-2722

(360) 737-9792

Unlisted Fax

Mailing Location

1313 NE 134th St Ste 220a, Vancouver, WA 98685-2722

(360) 737-9792

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LF61204764 Washington

Cherry V Foultner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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