Individual ProviderAndrea KuchlerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-7641(503) 494-4910PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Kuchler is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1831509439Provider TypeIndividualFull NameKuchler, AndreaTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date5/5/2014Last Updated5/9/2024Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-7641Fax(503) 494-4661Mailing LocationMailing Address3181 SW Sam Jackson Park Rd, Mail Code Sjh-2, Portland, OR 97239Phone(503) 494-4910Fax(503) 494-8368Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA174418OregonCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA174418Oregon