# STONEYBROOKE RESIDENTIAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164979191
- **Authorized official:** VALERIE STONEY (ASSISTANT DIRECTOR)
- **Authorized official phone:** (503) 669-7191

## Contact information

- **Practice address:** 25500 SE STARK ST, SUITE 101, GRESHAM, OR 97030-3331
- **Practice address phone:** (503) 669-7191
- **Practice address fax:** (503) 669-7102
- **Mailing address:** 25500 SE STARK ST, SUITE 101, GRESHAM, OR 97030-3331
- **Mailing address phone:** (503) 669-7191
- **Mailing address fax:** (503) 669-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 09/07/2016