Individual ProviderElizabeth LarsenAcupuncturistOther Service ProvidersPractice Address1308 NW 20th Ave Ste 10, Portland, OR 97209-1607(503) 218-3737(831) 419-9590PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Larsen 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 5 days ago.Profile DetailsProvider ID1740757632Provider TypeIndividualFull NameLarsen, ElizabethCredentialMACOM, LACGenderFemaleSole ProprietorNoEnumeration Date10/29/2018Last Updated10/29/2018Contact InformationPractice LocationPractice Address1308 NW 20th Ave Ste 10, Portland, OR 97209-1607Phone(503) 218-3737FaxUnlisted FaxMailing LocationMailing Address1823 SW Moss St, Portland, OR 97219-2742Phone(831) 419-9590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC190005Oregon