Individual
SUSAN ELIZABETH STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19333 SW LAURELHURST WAY, BEND, OR 97702-3192
(541) 890-2540
Mailing address
19333 SW LAURELHURST WAY, BEND, OR 97702-3192
(541) 890-2540
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201507083RN
OR
225700000X
Massage Therapist
11392
OR
Other
Enumeration date
07/05/2011
Last updated
04/22/2017
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