Individual ProviderAlexandra PenalunaAcupuncturistOther Service ProvidersPractice Address1500 NW 18th Ave, 102, Portland, OR 97209-2557(503) 489-7122PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Penaluna 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 ID1598002073Provider TypeIndividualFull NamePenaluna, AlexandraGenderFemaleSole ProprietorNoEnumeration Date1/3/2013Last Updated1/3/2013Contact InformationPractice LocationPractice Address1500 NW 18th Ave, 102, Portland, OR 97209-2557Phone(503) 489-7122FaxUnlisted FaxMailing LocationMailing Address1500 NW 18th Ave, 102, Portland, OR 97209-2557PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC160232Oregon