Zachary David Darrah | Portland, OR • PECOS Search

Zachary David Darrah

Social Worker

Behavioral Health & Social Service Providers

3415 SE Powell Blvd, Portland, OR 97202-3371

(503) 234-9591 (559) 283-1006

PECOS Enrollment

Based on the most recent information from CMS, provider Zachary David Darrah 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
1629224639
Provider Type
Individual
Full Name
Darrah, Zachary David
Gender
Male

Sole Proprietor
No
Enumeration Date
8/9/2008
Last Updated
8/9/2008

Contact Information

Practice Location

3415 SE Powell Blvd, Portland, OR 97202-3371

Unlisted Fax

Mailing Location

2332 SE 10th Ave, Portland, OR 97214-4622

Unlisted Fax

Provider Taxonomies

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