Individual
AMBER STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 SW COURT ST, DALLAS, OR 97338-3112
(503) 304-4358
(503) 304-4361
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
(503) 304-4358
(503) 304-4361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2780
OR
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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