Individual ProviderNicole HornbergerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address15700 SW Greystone Ct, Beaverton, OR 97006(971) 262-9150PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Hornberger 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 4 days ago.Profile DetailsProvider ID1649695990Provider TypeIndividualFull NameHornberger, NicoleGenderFemaleSole ProprietorNoEnumeration Date2/24/2014Last Updated7/13/2018Contact InformationPractice LocationPractice Address15700 SW Greystone Ct, Beaverton, OR 97006Phone(971) 262-9150Fax(971) 262-9151Mailing LocationMailing Address15700 SW Greystone Ct, Beaverton, OR 97006-6011Phone(971) 262-9150Fax(971) 262-9151Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseL7292OregonCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0000WDBCHDescriptionOtherIssuerGROUP MEDICARE #OregonID164936DescriptionMedicaidIssuerUnlistedOregon