Individual ProviderRimina AzadSocial WorkerBehavioral Health & Social Service ProvidersPractice Address17206 NW Widgi Creek Ct, Beaverton, OR 97006-8147(765) 407-0350PECOS EnrollmentBased on the most recent information from CMS, provider Rimina Azad 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 4 days ago.Profile DetailsProvider ID1770239717Provider TypeIndividualFull NameAzad, RiminaGenderFemaleSole ProprietorNoEnumeration Date2/28/2022Last Updated2/28/2022Contact InformationPractice LocationPractice Address17206 NW Widgi Creek Ct, Beaverton, OR 97006-8147Phone(765) 407-0350FaxUnlisted FaxMailing LocationMailing Address17206 NW Widgi Creek Ct, Beaverton, OR 97006-8147Phone(765) 407-0350FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer