Renee Andrea Stor, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OR MD11940 Issued in OR

Practice address

5125 Skyline Rd S
Skyline Medical Office
Salem, OR 97306-5400

Phone

(503) 361-5400

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Richard Arthur Stor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1548366800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 PTARMIGAN ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042409",
            "telephone_number": "503-566-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 SKYLINE RD S",
            "address_2": "SKYLINE MEDICAL OFFICE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973065400",
            "telephone_number": "503-361-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOR",
        "first_name": "RENEE",
        "middle_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "OR  MD11940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "STOR",
            "middle_name": "ARTHUR",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Stone, LPC
• Madison Anne Stone, PA
• Natalie Stone, RN
• Marcus Grant Stones, D.M.D.
• Candice Evalyn Stoops, LMT
• Adam Storm
• Mandy Julianna Rose Storm
• Nikole Stormo
• Andrea Zeug Stout, M.D.
• Emily Danielle Stout

• Internal Medicine Physician in Salem, OR
• Providers in Salem, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.