Individual ProviderSuzanne ChiAcupuncturistOther Service ProvidersPractice Address1515 NW 18th Ave, Suite 400, Portland, OR 97209-2516(503) 228-1306PECOS EnrollmentBased on the most recent information from CMS, provider Suzanne Chi 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 ID1851645121Provider TypeIndividualFull NameChi, SuzanneCredentialL.AC.GenderFemaleSole ProprietorYesEnumeration Date11/7/2012Last Updated6/6/2016Contact InformationPractice LocationPractice Address1515 NW 18th Ave, Suite 400, Portland, OR 97209-2516Phone(503) 228-1306Fax(503) 228-1307Mailing LocationMailing Address3519 NE 15th Ave, #512, Portland, OR 97212-2356Phone(503) 228-1306Fax(503) 228-1307Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC160229Oregon