Individual ProviderEdward RodriguezCounselorBehavioral Health & Social Service ProvidersPractice Address1700 Airport Way S, Seattle, WA 98134-1618(206) 223-3644PECOS EnrollmentBased on the most recent information from CMS, provider Edward Rodriguez 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 2 days ago.Profile DetailsProvider ID1548894520Provider TypeIndividualFull NameRodriguez, EdwardGenderMaleSole ProprietorNoEnumeration Date2/27/2020Last Updated2/27/2020Contact InformationPractice LocationPractice Address1700 Airport Way S, Seattle, WA 98134-1618Phone(206) 223-3644FaxUnlisted FaxMailing LocationMailing Address1700 Airport Way S, Seattle, WA 98134-1618PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer