Brianna Helena Von Pegert | Portland, OR • PECOS Search

Brianna Helena Von Pegert

Counselor

Behavioral Health & Social Service Providers

8383 NE Sandy Blvd, Portland, OR 97220-4948

PECOS Enrollment

Based on the most recent information from CMS, provider Brianna Helena Von Pegert 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 2 days ago.

Profile Details

Provider ID
1669114807
Provider Type
Individual
Full Name
Von Pegert, Brianna Helena
Gender
Female

Sole Proprietor
No
Enumeration Date
4/8/2022
Last Updated
4/8/2022

Contact Information

Practice Location

8383 NE Sandy Blvd, Portland, OR 97220-4948

Unlisted Fax

Mailing Location

1625 NE Gertz Rd, Portland, OR 97211-1515

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer