Individual ProviderMorganna Wynter WolfSocial WorkerBehavioral Health & Social Service ProvidersPractice Address17175 SW Tv Hwy, Suite B2, Aloha, OR 97006-4584(503) 941-3063(503) 941-3033PECOS EnrollmentBased on the most recent information from CMS, provider Morganna Wynter Wolf 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 ID1699029991Provider TypeIndividualFull NameWolf, Morganna WynterCredentialMSW, CSWA, CADCIGenderFemaleSole ProprietorNoEnumeration Date11/8/2012Last Updated7/12/2013Contact InformationPractice LocationPractice Address17175 SW Tv Hwy, Suite B2, Aloha, OR 97006-4584Phone(503) 941-3063Fax(503) 941-3099Mailing LocationMailing Address3720 SW 141st Ave, Suite 100, Beaverton, OR 97005-2382Phone(503) 941-3033Fax(503) 941-3034Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseL5856OregonCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense04-11-71U3Oregon