Individual ProviderStephen Mark HardenberghAcupuncturistOther Service ProvidersPractice Address727 W. Burnside, Portland, OR 97209(503) 228-4533PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Mark Hardenbergh 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 ID1164470274Provider TypeIndividualFull NameHardenbergh, Stephen MarkCredentialL.AC.GenderMaleEnumeration Date5/4/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address727 W. Burnside, Portland, OR 97209Phone(503) 228-4533FaxUnlisted FaxMailing LocationMailing Address73 NE Stanton #4, Portland, OR 97212Phone(503) 228-4533FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC00202Oregon