Individual ProviderPeggy EnsignAcupuncturistOther Service ProvidersPractice Address1920 NW Johnson St, Suite 10, Portland, OR 97209-1325(503) 274-0644(503) 287-6846PECOS EnrollmentBased on the most recent information from CMS, provider Peggy Ensign 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 ID1225096241Provider TypeIndividualFull NameEnsign, PeggyCredentialL.AC.GenderMaleEnumeration Date5/1/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1920 NW Johnson St, Suite 10, Portland, OR 97209-1325Phone(503) 274-0644FaxUnlisted FaxMailing LocationMailing Address9340 N Polk Ave, Portland, OR 97203-2324Phone(503) 287-6846FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC00188Oregon