Sostenes Tito Mendoza | Hillsboro, OR • PECOS Search

Sostenes Tito Mendoza

Social Worker

Behavioral Health & Social Service Providers

1925 NE Stucki Ave, Hillsboro, OR 97006-6945

PECOS Enrollment

Based on the most recent information from CMS, provider Sostenes Tito Mendoza 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 4 days ago.

Profile Details

Provider ID
1811779150
Provider Type
Individual
Full Name
Mendoza, Sostenes Tito
Gender
Male

Sole Proprietor
Yes
Enumeration Date
10/20/2023
Last Updated
10/20/2023

Contact Information

Practice Location

1925 NE Stucki Ave, Hillsboro, OR 97006-6945

Unlisted Fax

Mailing Location

1925 NE Stucki Ave, Hillsboro, OR 97006-6945

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer