MEDICARE: DR. MARK R STONE M.D.

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	207RH0003X	Hematology & Oncology Physician	MD24415	OR
2	207RX0202X	Medical Oncology Physician	MD24415	OR
3	207RH0000X	Hematology (Internal Medicine) Physician	MD24415	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619031838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK R STONE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3158
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97208-3158
Country	:	US
Telephone Number	:	503-215-6494
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 N PROVIDENCE DR STE 310
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-7582
Country	:	US
Telephone Number	:	503-537-6040
Fax Number	:

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	05/06/2024

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Directions to “ DR. MARK R STONE M.D.” Practice Location

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