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NPI 1891380648

NPI 1891380648 : TORI MARIE STONE : GRESHAM, OR

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General NPI Number Information
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    NPI Number           |    1891380648
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    Entity Type          |    Individual 
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    Provider Name        |    TORI MARIE STONE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/03/2021
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    Last Update Date     |    09/04/2025
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Provider Practice Location Address
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    Address Line         |    1112 NW 15TH ST APT 203 
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    City                 |    GRESHAM
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    State                |    OR
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    Zip                  |    97030-4870
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    Country              |    US
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    Telephone            |    661-713-5505
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    121 SW SALMON ST FL 11 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97204-2908
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    Country              |    US
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    Telephone            |    661-713-5505
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    Fax                  |    
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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        |    106E00000X
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    Taxonomy Name        |    Assistant Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    ABA-B-10226818
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    License Number State |    OR
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