Lesley Krakauer | Portland, OR • PECOS Search

Lesley Krakauer

Social Worker

Behavioral Health & Social Service Providers

3415 SE Powell Blvd, Portland, OR 97202

PECOS Enrollment

Based on the most recent information from CMS, provider Lesley Krakauer does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1912257437
Provider Type
Individual
Full Name
Krakauer, Lesley
Credential
CSWA, CADC-I

Gender
Female
Sole Proprietor
No
Enumeration Date
9/12/2012
Last Updated
9/12/2012

Contact Information

Practice Location

3415 SE Powell Blvd, Portland, OR 97202

Unlisted Fax

Mailing Location

3415 SE Powell Blvd, Portland, OR 97202

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer Oregon