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Barbara Josephine Gorham

Counselor

Behavioral Health & Social Service Providers

2025 115th Ave NE, Bldg D, #200, Kirkland, WA 98034

PECOS Enrollment

This provider is enrolled in PECOS as BARBARA GORHAM.

Based on the most recent information from CMS, provider Barbara Josephine Gorham is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891202834
Provider Type
Individual
Full Name
Gorham, Barbara Josephine
Gender
Female

Sole Proprietor
No
Enumeration Date
12/29/2017
Last Updated
12/29/2017

Contact Information

Practice Location

2025 115th Ave NE, Bldg D, #200, Kirkland, WA 98034

(425) 821-1810

Unlisted Fax

Mailing Location

342 16th Ave E, Seattle, WA 98112-5105

(206) 375-3133

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 60808487 Washington

Barbara Josephine Gorham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Harris-Johnston, Leslie R

Bachelor, John

Binns, Amy

Patrick, Shane

Madfai, Lejla

Koch, John F

Lucas, Anne Robinson

Shelley, Selena B

Canniff, Janet Rose

Fear, Brenna Lynn