Individual ProviderDonald Son MurryCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Plain Blvd Ste A-152, Vancouver, WA 98661-3713(360) 397-8198PECOS EnrollmentBased on the most recent information from CMS, provider Donald Son Murry 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 today at 10:04 AM.Profile DetailsProvider ID1215406566Provider TypeIndividualFull NameMurry, Donald SonCredentialLSWAICGenderMaleSole ProprietorYesEnumeration Date11/15/2018Last Updated11/15/2018Contact InformationPractice LocationPractice Address1601 E 4th Plain Blvd Ste A-152, Vancouver, WA 98661-3713Phone(360) 397-8198Fax(360) 398-8476Mailing LocationMailing AddressPO Box 5000, Vancouver, WA 98666-5000Phone(360) 397-8198Fax(360) 397-8476Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseSC60815401WashingtonProvider IdentifiersIDDescriptionIssuerID1699916114DescriptionMedicaidIssuerUnlistedWashington