Annie Kobliska-Becker | Portland, OR • PECOS Search

Annie Kobliska-Becker

Social Worker

Behavioral Health & Social Service Providers

3415 SE Powell Blvd, Portland, OR 97202-3371

PECOS Enrollment

Based on the most recent information from CMS, provider Annie Kobliska-Becker 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1619228368
Provider Type
Individual
Full Name
Kobliska-Becker, Annie
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/20/2012
Last Updated
9/20/2012

Contact Information

Practice Location

3415 SE Powell Blvd, Portland, OR 97202-3371

Unlisted Fax

Mailing Location

3415 SE Powell Blvd, Portland, OR 97202-3371

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Oregon