Individual ProviderLee Andre SmulaCounselorBehavioral Health & Social Service ProvidersPractice Address10638 NE Glisan St, Portland, OR 97220-4045(503) 254-6804PECOS EnrollmentBased on the most recent information from CMS, provider Lee Andre Smula 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 ID1801126313Provider TypeIndividualFull NameSmula, Lee AndreCredentialMAGenderMaleSole ProprietorNoEnumeration Date1/5/2010Last Updated1/5/2010Contact InformationPractice LocationPractice Address10638 NE Glisan St, Portland, OR 97220-4045Phone(503) 254-6804Fax(503) 253-1214Mailing LocationMailing Address10638 NE Glisan St, Portland, OR 97220-4045Phone(503) 254-6804Fax(503) 253-1214Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer