Stone, Teresa Valerie Annie

Stone, Teresa Valerie Annie is an individual health care provider with primary practice located at 1810 E 19Th St , The Dalles OR 97058. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stone, Teresa Valerie Annie can be contacted via phone (541) 296-7677.

Contact Information

Primary practice address
1810 E 19Th St The Dalles OR 97058
Phone: (541) 296-7677
Fax: (541) 296-7206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200650165 Oregon

Profile Details

NPI number 1699843920
LBN Legal business name Stone, Teresa Valerie Annie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jun 27th, 2008 - about 16 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 1699843920 NPPES
Oregon MEDICAID 218103

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