OrganizationFanno Creek Healing Arts LlpNaturopathOther Service ProvidersPractice Address4530 SW Hall Blvd, Beaverton, OR 97005-0504(503) 277-3699PECOS EnrollmentBased on the most recent information from CMS, provider Fanno Creek Healing Arts Llp 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 12:57 PM.Profile DetailsProvider ID1407190952Provider TypeOrganizationFull NameFanno Creek Healing Arts LlpSubpartNoEnumeration Date11/23/2012Last Updated11/23/2012Contact InformationPractice LocationPractice Address4530 SW Hall Blvd, Beaverton, OR 97005-0504Phone(503) 277-3699FaxUnlisted FaxMailing LocationMailing Address4530 SW Hall Blvd, Beaverton, OR 97005-0504Phone(503) 277-3699FaxUnlisted FaxAuthorized OfficialNameClark, Heidi (Nd, Lac)Phone(503) 277-3699Provider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicense1881OregonCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense3156OregonCode171100000XDescriptionAcupuncturistOther Service ProvidersLicenseAC156029Oregon