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NPI 1134430770

NPI 1134430770 : SKYLER ALEXANDER SHERMAN STONE ARNP : TROUTDALE, OR

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General NPI Number Information
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    NPI Number           |    1134430770
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    Entity Type          |    Individual 
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    Provider Name        |    SKYLER ALEXANDER SHERMAN STONE ARNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/29/2010
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    Last Update Date     |    01/30/2026
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Provider Practice Location Address
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    Address Line         |    2800 SW 257TH AVE 
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    City                 |    TROUTDALE
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    State                |    OR
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    Zip                  |    97060-1803
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    Country              |    US
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    Telephone            |    503-667-7711
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2800 SW 257TH AVE 
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    City                 |    TROUTDALE
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    State                |    OR
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    Zip                  |    97060-1803
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    Country              |    US
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    Telephone            |    503-667-7711
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    Fax                  |    503-669-9908
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    201350097NP
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP60163692
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    License Number State |    WA
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