OrganizationJade AcupunctureAcupuncturistOther Service ProvidersPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504(503) 417-1774PECOS EnrollmentBased on the most recent information from CMS, provider Jade Acupuncture 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 5:04 PM.Profile DetailsProvider ID1063898682Provider TypeOrganizationFull NameJade AcupunctureSubpartNoEnumeration Date8/5/2015Last Updated8/5/2015Contact InformationPractice LocationPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504Phone(503) 417-1774Fax(503) 222-3339Mailing LocationMailing Address1920 NW Lovejoy St, Portland, OR 97209-1504Phone(503) 417-1774Fax(503) 222-3339Authorized OfficialNameSmith, Clarissa (Owner)Phone(503) 417-1774Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC00404Oregon