Individual ProviderJason A. MalcomSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3550 SE Woodward St, Portland, OR 97202-1552(503) 234-7532PECOS EnrollmentBased on the most recent information from CMS, provider Jason A. Malcom 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 yesterday at 12:57 PM.Profile DetailsProvider ID1790986040Provider TypeIndividualFull NameMalcom, Jason A.TitleMr.GenderMaleSole ProprietorNoEnumeration Date5/31/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3550 SE Woodward St, Portland, OR 97202-1552Phone(503) 234-7532FaxUnlisted FaxMailing LocationMailing Address3550 SE Woodward St, Portland, OR 97202-1552PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer