Provider Demographics
NPI:1366727216
Name:STONE, RONI (LMT)
Entity type:Individual
Prefix:
First Name:RONI
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2557 NW OVERLOOK DR
Mailing Address - Street 2:APT 528
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7644
Mailing Address - Country:US
Mailing Address - Phone:503-804-3159
Mailing Address - Fax:
Practice Address - Street 1:2557 NW OVERLOOK DR
Practice Address - Street 2:APT 528
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-7644
Practice Address - Country:US
Practice Address - Phone:503-804-3159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13584225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist