Howard Vergara Mateo | Hillsboro, OR • PECOS Search

Howard Vergara Mateo

Social Worker

Behavioral Health & Social Service Providers

1925 NE Stucki Ave Unit 300, Hillsboro, OR 97006-6945

(503) 906-5000 (808) 205-1483

PECOS Enrollment

Based on the most recent information from CMS, provider Howard Vergara Mateo 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 4 days ago.

Profile Details

Provider ID
1730963257
Provider Type
Individual
Full Name
Mateo, Howard Vergara
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/24/2023
Last Updated
8/24/2023

Contact Information

Practice Location

1925 NE Stucki Ave Unit 300, Hillsboro, OR 97006-6945

Unlisted Fax

Mailing Location

12567 SW 134th Ave, Portland, OR 97223-4719

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 150.109176 Illinois