MEDICARE: STEPHANIE JEANNE TONEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		OR

General Provider Information

NPI Number	:	1407710148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE JEANNE TONEY

Provider Business Mailing Address
First Line	:	PO BOX 17818
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-7818
Country	:	US
Telephone Number	:	503-363-2021
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 BOONE RD SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97306-1954
Country	:	US
Telephone Number	:	503-363-2021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/16/2025

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Directions to “ STEPHANIE JEANNE TONEY ” Practice Location

Language	Start Address	Practice Location

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