Individual ProviderSara E BergmanAcupuncturistOther Service ProvidersPractice Address723 NW 18th Avenue, Portland, OR 97209-2315(503) 791-4648PECOS EnrollmentBased on the most recent information from CMS, provider Sara E Bergman 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 ID1104282474Provider TypeIndividualFull NameBergman, Sara ECredentialLACGenderFemaleSole ProprietorNoEnumeration Date1/2/2016Last Updated12/15/2022Contact InformationPractice LocationPractice Address723 NW 18th Avenue, Portland, OR 97209-2315Phone(503) 791-4648FaxUnlisted FaxMailing LocationMailing Address723 NW 18th Avenue, Portland, OR 97209-2315Phone(503) 791-4648FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC173854OregonProvider IdentifiersIDDescriptionIssuerID500706395DescriptionMedicaidIssuerUnlistedOregon