Individual ProviderJennifer Lyn GilletteSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3550 SE Woodward St, Portland, OR 97202-1552(503) 348-7378(503) 729-2431PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Lyn Gillette 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 yesterday at 12:57 PM.Profile DetailsProvider ID1710139431Provider TypeIndividualFull NameGillette, Jennifer LynGenderFemaleSole ProprietorYesEnumeration Date10/13/2008Last Updated3/22/2010Contact InformationPractice LocationPractice Address3550 SE Woodward St, Portland, OR 97202-1552Phone(503) 348-7378FaxUnlisted FaxMailing LocationMailing AddressPO Box 1809, Lake Oswego, OR 97035-0009Phone(503) 729-2431FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseRC60020485WashingtonProvider IdentifiersIDDescriptionIssuerIDRC60020485DescriptionOtherIssuerREGISTERED COUNSELORWashington