James Bradley Austin | Portland, OR • PECOS Search

James Bradley Austin

Acupuncturist

Other Service Providers

1308 NW 20th Ave, Suite 8, Portland, OR 97209-1607

PECOS Enrollment

Based on the most recent information from CMS, provider James Bradley Austin 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
1316216682
Provider Type
Individual
Full Name
Austin, James Bradley
Credential
L.AC., M.AC.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/15/2011
Last Updated
12/15/2011

Contact Information

Practice Location

1308 NW 20th Ave, Suite 8, Portland, OR 97209-1607

Unlisted Fax

Mailing Location

1308 NW 20th Ave, Suite 8, Portland, OR 97209-1607

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC01223 Oregon