Jana M Capristo | Portland, OR • PECOS Search

Jana M Capristo

Acupuncturist

Other Service Providers

1411 NW Raleigh St, Portland, OR 97209

PECOS Enrollment

Based on the most recent information from CMS, provider Jana M Capristo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 5:04 PM.

Profile Details

Provider ID
1215052295
Provider Type
Individual
Full Name
Capristo, Jana M
Credential
L.AC.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/20/2007
Last Updated
12/9/2010

Contact Information

Practice Location

1411 NW Raleigh St, Portland, OR 97209

Unlisted Fax

Mailing Location

6311 N Bowdoin St, Portland, OR 97203-4111

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC01031 Oregon