Individual ProviderStacy Renee MccleerySocial WorkerBehavioral Health & Social Service ProvidersPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371(503) 234-9591(541) 979-7781PECOS EnrollmentBased on the most recent information from CMS, provider Stacy Renee Mccleery 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 ID1538465638Provider TypeIndividualFull NameMccleery, Stacy ReneeTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date2/7/2011Last Updated2/7/2011Contact InformationPractice LocationPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(503) 234-9591FaxUnlisted FaxMailing LocationMailing Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(541) 979-7781FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerOregon