Stonesoup Hrc

Specialty details in registry · Portland, OR

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At a glance

1235 Se Oak St Apt 2, Portland, OR 97214-1498

NPPES record updated Aug 7, 2026. Public records can lag behind changes at a practice.

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  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1235 Se Oak St Apt 2
Portland, OR 97214-1498

Additional reported practice locations

400 Se 12Th Ave
Portland, OR 972141323
Phone: 5032721497
Professional details: NPI, taxonomy & registry record
NPI1356194732
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
172V00000X
Enumeration date
Apr 8, 2024
Record updated
Aug 7, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

172V00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1235 Se Oak St Apt 2
Portland, OR 97214-1498
Phone
(541) 231-5597
Mailing address
3439 NE SANDY BLVD
PMB 201
PORTLAND, OR 972321959
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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