OrganizationMandala Acupuncture & Bodywork. LlcAcupuncturistOther Service ProvidersPractice Address925 NW Davis St, Portland, OR 97209-3103(503) 341-6459PECOS EnrollmentBased on the most recent information from CMS, provider Mandala Acupuncture & Bodywork. Llc 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 5 days ago.Profile DetailsProvider ID1013350065Provider TypeOrganizationFull NameMandala Acupuncture & Bodywork. LlcSubpartNoEnumeration Date4/9/2013Last Updated4/9/2013Contact InformationPractice LocationPractice Address925 NW Davis St, Portland, OR 97209-3103Phone(503) 341-6459FaxUnlisted FaxMailing LocationMailing Address925 NW Davis St, Portland, OR 97209-3103Phone(503) 341-6459FaxUnlisted FaxAuthorized OfficialNameTupper, Uma (Owner)Phone(503) 341-6459Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseUnlisted IssuerCode225700000XDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer