Individual ProviderA. Marisol Cabrera-CrumpackerCounselorBehavioral Health & Social Service ProvidersPractice Address11035 NE Sandy Blvd, Portland, OR 97220-2553(503) 736-6565PECOS EnrollmentBased on the most recent information from CMS, provider A. Marisol Cabrera-Crumpacker 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 ID1770886574Provider TypeIndividualFull NameCabrera-Crumpacker, A. MarisolCredentialMSWGenderFemaleSole ProprietorNoEnumeration Date12/16/2010Last Updated1/20/2015Contact InformationPractice LocationPractice Address11035 NE Sandy Blvd, Portland, OR 97220-2553Phone(503) 736-6565Fax(509) 663-3726Mailing LocationMailing Address11035 NE Sandy Blvd, Portland, OR 97220-2553Phone(503) 736-6565Fax(509) 663-3726Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer