Individual ProviderTara Elise GregoryAcupuncturistOther Service ProvidersPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504(503) 479-5506PECOS EnrollmentBased on the most recent information from CMS, provider Tara Elise Gregory 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 ID1831535269Provider TypeIndividualFull NameGregory, Tara EliseCredentialLACGenderFemaleSole ProprietorNoEnumeration Date5/13/2013Last Updated2/13/2015Contact InformationPractice LocationPractice Address1920 NW Lovejoy St, Portland, OR 97209-1504Phone(503) 479-5506FaxUnlisted FaxMailing LocationMailing Address826 N Humboldt St, Apt. 3, Portland, OR 97217-2549Phone(503) 479-5506FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC160506Oregon