NPI 1164979191

Stoneybrooke Residential Services, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Gresham, OR

Practice location

Address: 25500 SE Stark St Suite 101, Gresham, OR 97030-3331
Phone: (503) 669-7191
Fax: (503) 669-7102

Authorised official

Name: Valerie Stoney
Title: Assistant Director
Phone: (503) 669-7191

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Oregon →

Registry record

NPI: 1164979191
Entity type: Organization
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.