Individual ProviderAngela NielsenCounselorBehavioral Health & Social Service ProvidersPractice Address10373 NE Hancock St, Portland, OR 97220-3873(503) 238-0769PECOS EnrollmentBased on the most recent information from CMS, provider Angela Nielsen 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 2 days ago.Profile DetailsProvider ID1720379217Provider TypeIndividualFull NameNielsen, AngelaGenderFemaleSole ProprietorYesEnumeration Date5/2/2011Last Updated5/2/2011Contact InformationPractice LocationPractice Address10373 NE Hancock St, Portland, OR 97220-3873Phone(503) 238-0769Fax(503) 552-6208Mailing LocationMailing AddressPO Box 8459, Portland, OR 97207-8459Phone(503) 238-0769Fax(503) 552-6208Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer