OrganizationJeffrey Philip Olson AcupunctureAcupuncturistOther Service ProvidersPractice Address1706 NW Glisan St, Suite 5, Portland, OR 97209-2225(503) 228-5000PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey Philip Olson Acupuncture 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 ID1821255332Provider TypeOrganizationFull NameJeffrey Philip Olson AcupunctureSubpartNoEnumeration Date5/21/2008Last Updated5/21/2008Contact InformationPractice LocationPractice Address1706 NW Glisan St, Suite 5, Portland, OR 97209-2225Phone(503) 228-5000Fax(503) 228-5019Mailing LocationMailing Address1706 NW Glisan St, Suite 5, Portland, OR 97209-2225Phone(503) 228-5000Fax(503) 228-5019Authorized OfficialNameBaldwin, Melissa (Office Manager)Phone(503) 228-5000Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC00901OregonProvider IdentifiersIDDescriptionIssuerID880895000DescriptionOtherIssuerBLUE CROSS BLUE SHIELDOregonID1679537872DescriptionOtherIssuerINDIVIDUAL NPIOregon