John Sheridan | Aloha, OR • PECOS Search

John Sheridan

Social Worker

Behavioral Health & Social Service Providers

20595 SW Tv Hwy, Aloha, OR 97006-1767

PECOS Enrollment

Based on the most recent information from CMS, provider John Sheridan 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 4 days ago.

Profile Details

Provider ID
1932438876
Provider Type
Individual
Full Name
Sheridan, John
Title
Mr.
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/23/2009
Last Updated
12/23/2009

Contact Information

Practice Location

20595 SW Tv Hwy, Aloha, OR 97006-1767

Unlisted Fax

Mailing Location

931 SE Albertine St, Hillsboro, OR 97123-5191

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License L4487 Oregon