Julie Joannini | Portland, OR • PECOS Search

Julie Joannini

Counselor

Behavioral Health & Social Service Providers

11035 NE Sandy Blvd, Portland, OR 97220

(503) 258-4200 (503) 258-4555

PECOS Enrollment

Based on the most recent information from CMS, provider Julie Joannini 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 2 days ago.

Profile Details

Provider ID
1912307141
Provider Type
Individual
Full Name
Joannini, Julie
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/25/2014
Last Updated
6/5/2018

Contact Information

Practice Location

11035 NE Sandy Blvd, Portland, OR 97220

Unlisted Fax

Mailing Location

1507 NE 122nd Ave, Portland, OR 97230-1911

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License T1291 Oregon