Whalio Doctors

NPI 1013536986

William Todd Stone, CRM

Practitioner Peer Specialist Coos Bay, OR

Practice location

Address
155 S Empire Blvd, Coos Bay, OR 97420-3374
Phone
(541) 756-3111
Fax
(541) 756-2111
Mailing address
1942 Sheridan Ave, North Bend, OR 97459-3416

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence 20-CRM-071 (OR)

Registry record

NPI
1013536986
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Apr 2020
Record last updated
10 Apr 2020

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.