Provider Demographics
NPI:1548649866
Name:STONE, ANNALIESE MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:ANNALIESE
Middle Name:MARIE
Last Name:STONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANNALIESE
Other - Middle Name:MARIE
Other - Last Name:STONE CASEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:100 E JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-3692
Mailing Address - Country:US
Mailing Address - Phone:509-962-7438
Mailing Address - Fax:
Practice Address - Street 1:100 E JACKSON AVE
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-3692
Practice Address - Country:US
Practice Address - Phone:509-962-7438
Practice Address - Fax:509-962-5438
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP60677011207Q00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine