Individual ProviderStacey GugginoNaturopathOther Service ProvidersPractice Address1427 NW Flanders St Ste A, Portland, OR 97209-2646(503) 972-0235PECOS EnrollmentBased on the most recent information from CMS, provider Stacey Guggino 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 ID1982902425Provider TypeIndividualFull NameGuggino, StaceyCredentialND, LACGenderFemaleSole ProprietorYesEnumeration Date3/8/2011Last Updated3/17/2018Contact InformationPractice LocationPractice Address1427 NW Flanders St Ste A, Portland, OR 97209-2646Phone(503) 972-0235FaxUnlisted FaxMailing LocationMailing Address2459 SE Tualatin Valley Hwy, Suite 416, Hillsboro, OR 97123-1247Phone(503) 972-0235FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicenseND1822OregonCode171100000XDescriptionAcupuncturistOther Service ProvidersLicenseAC157485OregonProvider IdentifiersIDDescriptionIssuerID500645662DescriptionMedicaidIssuerUnlistedOregon