Individual ProviderCorey ConnareSocial WorkerBehavioral Health & Social Service ProvidersPractice Address16365 NW Twin Oaks Dr, Suite 200, Beaverton, OR 97006(503) 828-3402(330) 343-1146PECOS EnrollmentBased on the most recent information from CMS, provider Corey Connare 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 4 days ago.Profile DetailsProvider ID1902513047Provider TypeIndividualFull NameConnare, CoreyGenderMaleSole ProprietorNoEnumeration Date10/28/2022Last Updated11/28/2023Contact InformationPractice LocationPractice Address16365 NW Twin Oaks Dr, Suite 200, Beaverton, OR 97006Phone(503) 828-3402FaxUnlisted FaxMailing LocationMailing Address5119 NE 17th Ave, Portland, OR 97211-5624Phone(330) 343-1146FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseA14427OregonCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer