Individual ProviderKoreen FishSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3301 Squalicum Pkwy, Bellingham, WA 98225-1919(360) 788-8610(360) 729-1462PECOS EnrollmentBased on the most recent information from CMS, provider Koreen Fish 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 2 days ago.Profile DetailsProvider ID1689132623Provider TypeIndividualFull NameFish, KoreenCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date3/8/2019Last Updated3/8/2019Contact InformationPractice LocationPractice Address3301 Squalicum Pkwy, Bellingham, WA 98225-1919Phone(360) 788-8610Fax(360) 788-8611Mailing LocationMailing Address1115 SE 164th Ave Dept 358, Vancouver, WA 98683-8004Phone(360) 729-1462Fax(360) 729-3104Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW60235840Washington