Individual ProviderDaniel HolzmacherPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3181 SW Sam Jackson Park Rd., Mail Code Sjh-2, Portland, OR 97239-3011(503) 494-4910PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Holzmacher is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1538724695Provider TypeIndividualFull NameHolzmacher, DanielGenderMaleSole ProprietorNoEnumeration Date5/4/2019Last Updated11/4/2021Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd., Mail Code Sjh-2, Portland, OR 97239-3011Phone(503) 494-4910Fax(503) 494-8368Mailing LocationMailing Address3181 SW Sam Jackson Park Rd., Mail Code Sjh-2, Portland, OR 97239-3011Phone(503) 494-4910Fax(503) 494-8368Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA193760Oregon