Individual ProviderKenton YoderCounselorBehavioral Health & Social Service ProvidersPractice Address10373 NE Hancock St Ste 200, Portland, OR 97220-3873(503) 777-2278PECOS EnrollmentBased on the most recent information from CMS, provider Kenton Yoder 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 ID1811670169Provider TypeIndividualFull NameYoder, KentonGenderMaleSole ProprietorNoEnumeration Date8/11/2023Last Updated8/11/2023Contact InformationPractice LocationPractice Address10373 NE Hancock St Ste 200, Portland, OR 97220-3873Phone(503) 777-2278FaxUnlisted FaxMailing LocationMailing AddressPO Box 8459, Portland, OR 97207-8459PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer