Andrew Fitz Lozovoy | Portland, OR • PECOS Search

Andrew Fitz Lozovoy

Counselor

Behavioral Health & Social Service Providers

10638 NE Glisan St, Portland, OR 97220-4045

PECOS Enrollment

Based on the most recent information from CMS, provider Andrew Fitz Lozovoy 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
1942753645
Provider Type
Individual
Full Name
Lozovoy, Andrew Fitz
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/28/2016
Last Updated
7/28/2016

Contact Information

Practice Location

10638 NE Glisan St, Portland, OR 97220-4045

Unlisted Fax

Mailing Location

14600 NW Cornell Rd, Portland, OR 97229-5442

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer