Varonica L Koon | Portland, OR • PECOS Search

Varonica L Koon

Social Worker

Behavioral Health & Social Service Providers

1904 SE Division St, Portland, OR 97202-1146

PECOS Enrollment

Based on the most recent information from CMS, provider Varonica L Koon 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
1962019307
Provider Type
Individual
Full Name
Koon, Varonica L
Credential
MSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/29/2020
Last Updated
9/29/2020

Contact Information

Practice Location

1904 SE Division St, Portland, OR 97202-1146

Unlisted Fax

Mailing Location

1904 SE Division St, Portland, OR 97202-1146

Unlisted Fax

Provider Taxonomies

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