Individual ProviderJacinta ChvatalSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3600 N Interstate Ave, Portland, OR 97227-1106(503) 331-3038PECOS EnrollmentBased on the most recent information from CMS, provider Jacinta Chvatal 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 yesterday at 12:57 PM.Profile DetailsProvider ID1619114212Provider TypeIndividualFull NameChvatal, JacintaCredentialMSWGenderFemaleSole ProprietorNoEnumeration Date1/19/2009Last Updated1/19/2009Contact InformationPractice LocationPractice Address3600 N Interstate Ave, Portland, OR 97227-1106Phone(503) 331-3038FaxUnlisted FaxMailing LocationMailing Address14762 NW Fawnlily Dr, Portland, OR 97229-1561PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer