MEDICARE: MS. ELIZA ANN ROWLEY L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC13576	CA
2	171100000X	Acupuncturist	13576	CA
3	171100000X	Acupuncturist	AC187624	OR

General Provider Information

NPI Number	:	1285951293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZA ANN ROWLEY L.AC.

Provider Business Mailing Address
First Line	:	12165 SE OATFILED ROAD
Second Line	:
City	:	MILWAUKIE
State	:	OR
Zip	:	97222
Country	:	US
Telephone Number	:	805-452-3193
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 SE OAK GROVE BLVD #9
Second Line	:
City	:	MILWAUKIE
State	:	OR
Zip	:	97267
Country	:	US
Telephone Number	:	805-452-3193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	01/06/2020

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