Individual ProviderMariana ChaconSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2020 SE Powell Blvd, Portland, OR 97202-2345(503) 553-9981PECOS EnrollmentBased on the most recent information from CMS, provider Mariana Chacon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1992356406Provider TypeIndividualFull NameChacon, MarianaGenderFemaleSole ProprietorNoEnumeration Date9/25/2019Last Updated9/25/2019Contact InformationPractice LocationPractice Address2020 SE Powell Blvd, Portland, OR 97202-2345Phone(503) 553-9981FaxUnlisted FaxMailing LocationMailing Address2020 SE Powell Blvd, Portland, OR 97202-2345PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer