Individual ProviderBrynn GrahamAcupuncturistOther Service ProvidersPractice Address925 NW Davis St, Portland, OR 97209-3103(503) 789-7576PECOS EnrollmentBased on the most recent information from CMS, provider Brynn Graham 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 ID1902962558Provider TypeIndividualFull NameGraham, BrynnTitleMs.CredentialMACOM, L.AC.GenderFemaleSole ProprietorYesEnumeration Date12/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address925 NW Davis St, Portland, OR 97209-3103Phone(503) 789-7576FaxUnlisted FaxMailing LocationMailing Address925 NW Davis St, Portland, OR 97209-3103PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense00603Oregon