Individual ProviderKim SealesCounselorBehavioral Health & Social Service ProvidersPractice Address11349 NE Sandy Blvd, Portland, OR 97220-1461(503) 726-3698PECOS EnrollmentBased on the most recent information from CMS, provider Kim Seales 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 ID1790129476Provider TypeIndividualFull NameSeales, KimTitleMs.CredentialCPHTGenderFemaleSole ProprietorYesEnumeration Date4/24/2013Last Updated4/24/2013Contact InformationPractice LocationPractice Address11349 NE Sandy Blvd, Portland, OR 97220-1461Phone(503) 726-3698FaxUnlisted FaxMailing LocationMailing Address8915 SW Center St, Tigard, OR 97223Phone(503) 726-3698FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer