Roberta S Paulsen | Tacoma, WA • PECOS Search

Roberta S Paulsen

Counselor

Behavioral Health & Social Service Providers

1201 S Proctor St, Tacoma, WA 98405-2047

(253) 396-5800 (253) 473-7350

PECOS Enrollment

Based on the most recent information from CMS, provider Roberta S Paulsen 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 4 days ago.

Profile Details

Provider ID
1588817456
Provider Type
Individual
Full Name
Paulsen, Roberta S
Title
Mrs.
Credential
M.A.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/23/2008
Last Updated
10/27/2008

Contact Information

Practice Location

1201 S Proctor St, Tacoma, WA 98405-2047

Unlisted Fax

Mailing Location

6314 S Park Ave, Tacoma, WA 98408-4609

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License RC 00059331 Washington