Individual ProviderTarver HannantCounselorBehavioral Health & Social Service ProvidersPractice Address11035 NE Sandy Blvd, Portland, OR 97220-2553(503) 258-4236PECOS EnrollmentBased on the most recent information from CMS, provider Tarver Hannant 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 ID1881017408Provider TypeIndividualFull NameHannant, TarverGenderMaleSole ProprietorNoEnumeration Date2/3/2014Last Updated2/3/2014Contact InformationPractice LocationPractice Address11035 NE Sandy Blvd, Portland, OR 97220-2553Phone(503) 258-4236FaxUnlisted FaxMailing LocationMailing Address11035 NE Sandy Blvd, Portland, OR 97220-2553Phone(503) 258-4236FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer