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General NPI Number Information
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NPI Number | 1982830659
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Entity Type | Individual
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Provider Name | BRENDA STONE O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 9135 SW BARNES RD STE 961
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City | PORTLAND
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State | OR
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Zip | 97225-6699
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Country | US
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Telephone | 503-244-1232
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 S MACADAM AVE STE 160
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City | PORTLAND
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State | OR
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Zip | 97239-3517
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Country | US
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Telephone | 503-244-8601
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Fax | 503-244-3013
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2892ATI
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD00003775
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License Number State | WA
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