Individual ProviderAndrew Eric VileAcupuncturistOther Service ProvidersPractice Address1133 NW 19th Ave, #10, Portland, OR 97209-1550(503) 260-3199PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Eric Vile 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 ID1336534148Provider TypeIndividualFull NameVile, Andrew EricCredentialLACGenderMaleSole ProprietorYesEnumeration Date3/30/2015Last Updated3/30/2015Contact InformationPractice LocationPractice Address1133 NW 19th Ave, #10, Portland, OR 97209-1550Phone(503) 260-3199FaxUnlisted FaxMailing LocationMailing Address1133 NW 19th Ave, #10, Portland, OR 97209-1550Phone(503) 260-3199FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC170370Oregon