Kaitlyn Stone | Beaverton, OR • PECOS Search

Kaitlyn Stone

Social Worker

Behavioral Health & Social Service Providers

17745 NW Autumn Ridge Dr, Beaverton, OR 97006-4039

PECOS Enrollment

Based on the most recent information from CMS, provider Kaitlyn Stone does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1609682905
Provider Type
Individual
Full Name
Stone, Kaitlyn
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/10/2024
Last Updated
12/10/2024

Contact Information

Practice Location

17745 NW Autumn Ridge Dr, Beaverton, OR 97006-4039

Unlisted Fax

Mailing Location

17745 NW Autumn Ridge Dr, Beaverton, OR 97006-4039

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License L10442 Oregon