Stoneybrooke Residential Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

STONEYBROOKE RESIDENTIAL SERVICES, LLC

Practice address

25500 SE Stark St
Suite 101
Gresham, OR 97030-3331

Phone

(503) 669-7191

Fax

(503) 669-7102

NPI assigned

Sep 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie Stoney

Title

Assistant Director

Phone

(503) 669-7191

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1164979191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 SE STARK ST",
            "address_2": "SUITE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303331",
            "telephone_number": "503-669-7191",
            "fax_number": "503-669-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 SE STARK ST",
            "address_2": "SUITE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303331",
            "telephone_number": "503-669-7191",
            "fax_number": "503-669-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEYBROOKE RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "STONEY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "503-669-7191"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Stone
• Sara Jenien Stone, L.M.T.
• Sonya Lynn Stone
• Tori Marie Stone
• Jaynie Marie Stoney, LPC
• Eric Strand, LAC, DAC, PHD
• Susan Lee Stratton-Miller, DMD
• Rita A Stratton, LCSW
• Heather Inez Strickland Guilbault, LMT
• David E Strickland, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.