Amanda Louise Fraga | Redmond, OR • PECOS Search

Amanda Louise Fraga

Counselor

Behavioral Health & Social Service Providers

676 NE Negus Way, Redmond, OR 97756-8527

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Louise Fraga 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 2 days ago.

Profile Details

Provider ID
1710228572
Provider Type
Individual
Full Name
Fraga, Amanda Louise
Credential
CADC I

Gender
Female
Sole Proprietor
No
Enumeration Date
3/4/2013
Last Updated
3/4/2013

Contact Information

Practice Location

676 NE Negus Way, Redmond, OR 97756-8527

(541) 504-1195

Mailing Location

PO Box 1710, Redmond, OR 97756-0516

(541) 504-1195

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License 12-12-03 Oregon