Healthcare Provider Details

I. General information

NPI: 1891380648
Provider Name (Legal Business Name): TORI MARIE STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 NW 15TH ST APT 203
GRESHAM OR
97030-4870
US

IV. Provider business mailing address

121 SW SALMON ST FL 11
PORTLAND OR
97204-2908
US

V. Phone/Fax

Practice location:
  • Phone: 661-713-5505
  • Fax:
Mailing address:
  • Phone: 661-713-5505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberABA-B-10226818
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: