Provider Demographics
NPI:1114739687
Name:STONES THROW HEALING LLC
Entity type:Organization
Organization Name:STONES THROW HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:FJOSNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-782-9769
Mailing Address - Street 1:3863 SW HALL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2042
Mailing Address - Country:US
Mailing Address - Phone:503-782-9769
Mailing Address - Fax:
Practice Address - Street 1:3863 SW HALL BLVD STE B
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2042
Practice Address - Country:US
Practice Address - Phone:503-782-9769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STONES THROW HEALING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty