Simon Sharkey-Jacoby | Portland, OR • PECOS Search

Simon Sharkey-Jacoby

Acupuncturist

Other Service Providers

1320 NW 20th Ave, Portland, OR 97209-1607

(503) 610-3307 (503) 806-9001

PECOS Enrollment

Based on the most recent information from CMS, provider Simon Sharkey-Jacoby 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 5 days ago.

Profile Details

Provider ID
1467950089
Provider Type
Individual
Full Name
Sharkey-Jacoby, Simon
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/29/2018
Last Updated
3/17/2018

Contact Information

Practice Location

1320 NW 20th Ave, Portland, OR 97209-1607

Unlisted Fax

Mailing Location

4057 N Concord Ave, Portland, OR 97227-1013

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC185992 Oregon