Robert James Leach | Portland, OR • PECOS Search

Robert James Leach

Counselor

Behavioral Health & Social Service Providers

10373 NE Hancock St Ste 200, Portland, OR 97220-3873

PECOS Enrollment

Based on the most recent information from CMS, provider Robert James Leach does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1578343059
Provider Type
Individual
Full Name
Leach, Robert James
Gender
Male

Sole Proprietor
No
Enumeration Date
10/3/2023
Last Updated
10/3/2023

Contact Information

Practice Location

10373 NE Hancock St Ste 200, Portland, OR 97220-3873

Unlisted Fax

Mailing Location

PO Box 8459, Portland, OR 97207-8459

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer