Individual ProviderColena Denise WellsCounselorBehavioral Health & Social Service ProvidersPractice Address10714 NE Glisan St, Portland, OR 97220-4046(503) 256-2453(503) 645-3581PECOS EnrollmentBased on the most recent information from CMS, provider Colena Denise Wells 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 ID1740327212Provider TypeIndividualFull NameWells, Colena DeniseTitleMs.GenderFemaleSole ProprietorYesEnumeration Date1/31/2007Last Updated6/4/2019Contact InformationPractice LocationPractice Address10714 NE Glisan St, Portland, OR 97220-4046Phone(503) 256-2453Fax(503) 254-4271Mailing LocationMailing Address14600 NW Cornell Rd, Portland, OR 97229-5442Phone(503) 645-3581Fax(503) 253-1217Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1740327212DescriptionMedicaidIssuerUnlistedOregon