Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | MD187623 | OR |
NPI | 1063531432 |
---|---|
Provider Name | Anne Stone |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 18/07/2018 |