Individual ProviderMark Wayne ToddAcupuncturistOther Service ProvidersPractice Address322 NW 5th Ave, Ste 305, Portland, OR 97209-3825(503) 481-9904PECOS EnrollmentBased on the most recent information from CMS, provider Mark Wayne Todd 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 ID1316293772Provider TypeIndividualFull NameTodd, Mark WayneCredentialL.AC.GenderMaleSole ProprietorYesEnumeration Date8/2/2012Last Updated3/5/2014Contact InformationPractice LocationPractice Address322 NW 5th Ave, Ste 305, Portland, OR 97209-3825Phone(503) 481-9904FaxUnlisted FaxMailing LocationMailing Address509 Washington St, Oregon City, OR 97045-2243Phone(503) 481-9904FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC154188Oregon