Individual ProviderLinda L MarshallSocial WorkerBehavioral Health & Social Service ProvidersPractice Address16110 SW Regatta Ln, Beaverton, OR 97006-8942(503) 617-0997PECOS EnrollmentBased on the most recent information from CMS, provider Linda L Marshall 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 ID1700860921Provider TypeIndividualFull NameMarshall, Linda LTitleMs.CredentialMSW LCSWGenderFemaleEnumeration Date12/1/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address16110 SW Regatta Ln, Beaverton, OR 97006-8942Phone(503) 617-0997Fax(503) 617-9379Mailing LocationMailing Address16110 SW Regatta Ln, Beaverton, OR 97006-8942Phone(503) 617-0997Fax(503) 617-9379Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense630Oregon