Michael Wayne Audas | Tacoma, WA • PECOS Search

Michael Wayne Audas

Counselor

Behavioral Health & Social Service Providers

1201 S Proctor St, Tacoma, WA 98405-2047

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Wayne Audas 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
1619127115
Provider Type
Individual
Full Name
Audas, Michael Wayne
Title
Mr.
Credential
M.A.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/22/2008
Last Updated
9/22/2008

Contact Information

Practice Location

1201 S Proctor St, Tacoma, WA 98405-2047

Unlisted Fax

Mailing Location

1201 S Proctor St, Tacoma, WA 98405-2047

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License RC00059543 Washington