Individual ProviderRebecca LadizhenskyAcupuncturistOther Service ProvidersPractice Address1971 NW Overton St, Portland, OR 97209-1618(971) 302-6176(415) 690-0690PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Ladizhensky 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 ID1609247899Provider TypeIndividualFull NameLadizhensky, RebeccaCredentialLACGenderFemaleSole ProprietorYesEnumeration Date10/13/2015Last Updated3/24/2022Contact InformationPractice LocationPractice Address1971 NW Overton St, Portland, OR 97209-1618Phone(971) 302-6176Fax(971) 373-5946Mailing LocationMailing Address4125 SE 32nd Ave, Portland, OR 97202-3428Phone(415) 690-0690FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense174749Oregon