Heidi C Stoker | Portland, OR • PECOS Search

Heidi C Stoker

Social Worker

Behavioral Health & Social Service Providers

3550 SE Woodward St, Portland, OR 97202-1552

PECOS Enrollment

Based on the most recent information from CMS, provider Heidi C Stoker 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
1982806345
Provider Type
Individual
Full Name
Stoker, Heidi C
Title
Miss
Credential
QMHA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/5/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3550 SE Woodward St, Portland, OR 97202-1552

Unlisted Fax

Mailing Location

3550 SE Woodward St, Portland, OR 97202-1552

Unlisted Fax

Provider Taxonomies

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