Individual
ELIZABETH JEAN STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
646 NW CULPEPPER TER, PORTLAND, OR 97210-3121
(503) 243-2177
(503) 241-2434
Mailing address
646 NW CULPEPPER TER, PORTLAND, OR 97210-3121
(503) 243-2177
(503) 241-2434
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
8334
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006252000
REGUCE BLUE CROSS
OR
05
—
180547
—
OR
01
—
240007086
MC RR
OR
Enumeration date
09/09/2005
Last updated
03/23/2015
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