Individual ProviderCharles Rachel GreyAcupuncturistOther Service ProvidersPractice Address1308 NW 20th Ave, Suite 10, Portland, OR 97209-1607(503) 956-0912PECOS EnrollmentBased on the most recent information from CMS, provider Charles Rachel Grey 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 ID1932373842Provider TypeIndividualFull NameGrey, Charles RachelCredentialLAC LMTGenderMaleSole ProprietorYesEnumeration Date4/22/2008Last 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) 715-4923Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC01160OregonCode225700000XDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseLMT15144Oregon