Stone, Aretha Deann

Stone, Aretha Deann is an sole proprietor health care provider with primary practice located at 1817 Ne 6Th Ave , Portland OR 97212-3960. She recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as her primary health care specialty. Stone, Aretha Deann can be contacted via phone (503) 719-7985.

Contact Information

Primary practice address
1817 Ne 6Th Ave Portland OR 97212-3960
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1639806292
LBN Legal business name Stone, Aretha Deann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2022
Last updated Aug 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639806292 NPPES
Oregon MEDICAID 853464625

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