Individual
TERESA VALERIE ANNIE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1810 E 19TH ST, THE DALLES, OR 97058
(541) 296-7677
(541) 296-7206
Mailing address
PO BOX 1520, THE DALLES, OR 97058
(541) 296-7677
(541) 296-7206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650165
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218103
—
OR
Enumeration date
12/04/2006
Last updated
06/27/2008
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