OrganizationStarside Healing ArtsAcupuncturistOther Service ProvidersPractice Address1308 NW 20th Ave, Suite 10, Portland, OR 97209-1607(503) 956-0912PECOS EnrollmentBased on the most recent information from CMS, provider Starside Healing Arts 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 5:04 PM.Profile DetailsProvider ID1275768434Provider TypeOrganizationFull NameStarside Healing ArtsSubpartNoEnumeration Date5/18/2009Last Updated3/20/2014Contact InformationPractice LocationPractice Address1308 NW 20th Ave, Suite 10, Portland, OR 97209-1607Phone(503) 956-0912Fax(503) 715-4923Mailing LocationMailing Address1308 NW 20th Ave, Suite 10, Portland, OR 97209-1607Phone(503) 956-0912Fax(503) 715-4923Authorized OfficialNameGrey, Charles Rachel (Owner)Phone(503) 956-0912Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC01160Oregon