Individual
DR. STACEY GRAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3710 US VETERANS HOSPITAL ROAD, PORTLAND, OR 97239
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, MAIL CODE P3MHC, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
229628
MA
2084P0800X
Psychiatry Physician
Primary
DO150983
OR
Other
Enumeration date
01/10/2007
Last updated
07/09/2013
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