Individual ProviderCatherine ThiesenCounselorBehavioral Health & Social Service ProvidersPractice Address225 NE 92nd Ave, Portland, OR 97220(503) 908-5652PECOS EnrollmentBased on the most recent information from CMS, provider Catherine Thiesen 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 ID1770222440Provider TypeIndividualFull NameThiesen, CatherineCredentialMAGenderFemaleSole ProprietorYesEnumeration Date6/1/2022Last Updated6/1/2022Contact InformationPractice LocationPractice Address225 NE 92nd Ave, Portland, OR 97220Phone(503) 908-5652FaxUnlisted FaxMailing LocationMailing Address4999 SE Regents Cir, Milwaukie, OR 97222-4261Phone(503) 908-5652FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR7186Oregon