Individual ProviderRobert MendozaCounselorBehavioral Health & Social Service ProvidersPractice Address1021 W 9th St, The Dalles, OR 97058-1007(541) 298-1920(541) 858-8170PECOS EnrollmentBased on the most recent information from CMS, provider Robert Mendoza 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 3 days ago.Profile DetailsProvider ID1730574138Provider TypeIndividualFull NameMendoza, RobertGenderMaleSole ProprietorNoEnumeration Date4/2/2015Last Updated12/17/2019Contact InformationPractice LocationPractice Address1021 W 9th St, The Dalles, OR 97058-1007Phone(541) 298-1920Fax(541) 298-1917Mailing LocationMailing Address3587 Heathrow Way, Medford, OR 97504-4004Phone(541) 858-8170FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer