Individual ProviderStacey GramannPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3710 Us Veterans Hospital Road, Portland, OR 97239(503) 220-8262PECOS EnrollmentBased on the most recent information from CMS, provider Stacey Gramann 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 2 days ago.Profile DetailsProvider ID1356490114Provider TypeIndividualFull NameGramann, StaceyTitleDr.CredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date1/10/2007Last Updated7/9/2013Contact InformationPractice LocationPractice Address3710 Us Veterans Hospital Road, Portland, OR 97239Phone(503) 220-8262FaxUnlisted FaxMailing LocationMailing Address3710 SW Us Veterans Hospital Rd, Mail Code P3mhc, Portland, OR 97239-2964Phone(503) 220-8262FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseDO150983OregonCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense229628Massachusetts