Individual ProviderAdam GawlakAcupuncturistOther Service ProvidersPractice Address2001 NW 19th Ave Ste 102, Portland, OR 97209-1842(503) 360-0053PECOS EnrollmentBased on the most recent information from CMS, provider Adam Gawlak 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 ID1801554464Provider TypeIndividualFull NameGawlak, AdamTitleMr.CredentialLACGenderMaleSole ProprietorYesEnumeration Date12/1/2021Last Updated12/1/2021Contact InformationPractice LocationPractice Address2001 NW 19th Ave Ste 102, Portland, OR 97209-1842Phone(503) 360-0053FaxUnlisted FaxMailing LocationMailing Address2001 NW 19th Ave Ste 102, Portland, OR 97209-1842Phone(503) 360-0053FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC208096Oregon