Individual
RENEE ANDREA STOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5125 SKYLINE RD S, SKYLINE MEDICAL OFFICE, SALEM, OR 97306-5400
(503) 361-5400
Mailing address
2570 PTARMIGAN ST NW, SALEM, OR 97304-2409
(503) 566-2128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OR MD11940
OR
Other
Enumeration date
09/15/2006
Last updated
01/04/2008
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