Holly Kristine Hermes | Portland, OR • PECOS Search

Holly Kristine Hermes

Social Worker

Behavioral Health & Social Service Providers

2800 N Vancouver Ave, Suite 165, Portland, OR 97227-1630

PECOS Enrollment

Based on the most recent information from CMS, provider Holly Kristine Hermes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:57 PM.

Profile Details

Provider ID
1801919543
Provider Type
Individual
Full Name
Hermes, Holly Kristine
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/9/2007
Last Updated
3/26/2013

Contact Information

Practice Location

2800 N Vancouver Ave, Suite 165, Portland, OR 97227-1630

Unlisted Fax

Mailing Location

2800 N Vancouver Ave, Suite 165, Portland, OR 97227-1630

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License L4008 Oregon