Jennifer Marie Berry | Portland, OR • PECOS Search

Jennifer Marie Berry

Counselor

Behavioral Health & Social Service Providers

8383 NE Sandy Blvd Ste 440, Portland, OR 97220-4986

(971) 373-4041 (615) 838-2397

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Marie Berry 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 2 days ago.

Profile Details

Provider ID
1811672462
Provider Type
Individual
Full Name
Berry, Jennifer Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
6/21/2023
Last Updated
9/9/2023

Contact Information

Practice Location

8383 NE Sandy Blvd Ste 440, Portland, OR 97220-4986

Unlisted Fax

Mailing Location

6334 SE 31st Terrace, Gresham, OR 97080-7646

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer