Individual ProviderJoshua EatonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9300 NE Oak View Dr, Suite B, Vancouver, WA 98662-6192(360) 567-2211(503) 320-8445PECOS EnrollmentBased on the most recent information from CMS, provider Joshua Eaton 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 yesterday at 12:57 PM.Profile DetailsProvider ID1821443268Provider TypeIndividualFull NameEaton, JoshuaGenderMaleSole ProprietorYesEnumeration Date5/3/2016Last Updated5/3/2016Contact InformationPractice LocationPractice Address9300 NE Oak View Dr, Suite B, Vancouver, WA 98662-6192Phone(360) 567-2211FaxUnlisted FaxMailing LocationMailing Address5929 NE 55th Ave, Portland, OR 97218-2301Phone(503) 320-8445FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID104100000XDescriptionMedicaidIssuerUnlistedWashington