Mara Elizabeth Beitzel | Portland, OR • PECOS Search

Mara Elizabeth Beitzel

Social Worker

Behavioral Health & Social Service Providers

3550 SE Woodward St, Portland, OR 97202-1552

(503) 234-7532 (503) 268-3039

PECOS Enrollment

Based on the most recent information from CMS, provider Mara Elizabeth Beitzel 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
1689822439
Provider Type
Individual
Full Name
Beitzel, Mara Elizabeth
Gender
Female

Sole Proprietor
No
Enumeration Date
9/5/2008
Last Updated
9/5/2008

Contact Information

Practice Location

3550 SE Woodward St, Portland, OR 97202-1552

Unlisted Fax

Mailing Location

17020 SW Pleasanton Ln, Beaverton, OR 97006-4238

Unlisted Fax

Provider Taxonomies

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