Individual
MS. LILLIE MAE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
870 NE LAURELHURST PL, PORTLAND, OR 97232-2655
(503) 568-9237
Mailing address
14151 SE 242ND AVE # 97089, DAMASCUS, OR 97089-7341
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
160785
OR
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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