Individual
MR. GREGORY FRED STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2318 NE M L KING BLVD, PORTLAND, OR 97212-3715
(503) 802-0306
Mailing address
7436 NE SISKIYOU ST, PORTLAND, OR 97213-5855
(503) 841-1643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L2056
OR
1041C0700X
Clinical Social Worker
Primary
2056
OR
Other
Enumeration date
05/22/2007
Last updated
01/21/2015
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