Elizabeth Brandt Pollock, M.AC.O.M., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC151043 Issued in OR

Practice address

107 SE Washington St
Suite #134
Portland, OR 97214-2103

Phone

(503) 236-6633

Fax

(503) 234-2185

NPI assigned

Apr 26, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Liza Pollock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• An Sen Clinic LLC

  • Acupuncturist
  • Portland, OR
  • NPI 1740588664
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1831416148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 SE WAVERLEIGH BLVD",
            "address_2": "APT. 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021978",
            "telephone_number": "503-753-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SE WASHINGTON ST",
            "address_2": "SUITE #134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142103",
            "telephone_number": "503-236-6633",
            "fax_number": "503-234-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "ELIZABETH",
        "middle_name": "BRANDT",
        "credential": "M.AC.O.M., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC151043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "POLLOCK",
            "credential": "M.AC.O.M., L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas D. Pollard, D.M.D.
• Michael Pollet
• Joel Benjamin Polley, RN
• Noelle Polley I
• Rachel A Pollin, LPC
• Mark A Pollock, MS
• William Garrett Pollock, LCSW, CADCIII
• Polly Gravely Counseling LLC
• Andrea Marie Polo, FNP
• Oscar Raphael Polo, M.D.

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.