Erin Kristine Stoneburner, LAC
Individual provider Active NPI Acupuncturist · Corbett, OR
NPI 1154699809 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1154699809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 155999 (OR)
- Practice address
- 39420 SE Gordon Creek Rd
Corbett, OR 97019-8750 - Phone
- (503) 695-2977
- NPI assigned
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155999 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hai Shan Center Inc | Acupuncturist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 155999 | OR | Yes |
Addresses
Primary practice location
39420 SE Gordon Creek Rd
Corbett, OR 97019-8750
Mailing address
PO Box 402
Corbett, OR 97019-0402
Phone (503) 695-2977
Other providers in Corbett, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.