OrganizationTara Gregory AcupunctureAcupuncturistOther Service ProvidersPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504(503) 479-5506PECOS EnrollmentBased on the most recent information from CMS, provider Tara Gregory 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 ID1154747954Provider TypeOrganizationFull NameTara Gregory AcupunctureSubpartNoEnumeration Date3/17/2014Last Updated2/13/2015Contact InformationPractice LocationPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504Phone(503) 479-5506FaxUnlisted FaxMailing LocationMailing Address1920 NW Lovejoy St, Portland, OR 97209-1504Phone(503) 479-5506FaxUnlisted FaxAuthorized OfficialNameGregory, Tara E (Acupuncturist)Phone(503) 479-5506Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC160506OregonProvider IdentifiersIDDescriptionIssuerID500666393DescriptionMedicaidIssuerUnlistedOregon