Provider Demographics
NPI:1962752378
Name:LODESTONE HEALTH, PLLC
Entity type:Organization
Organization Name:LODESTONE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:HYDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-999-5679
Mailing Address - Street 1:PO BOX 900
Mailing Address - Street 2:
Mailing Address - City:AUMSVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97325-0900
Mailing Address - Country:US
Mailing Address - Phone:503-999-5679
Mailing Address - Fax:
Practice Address - Street 1:10900 NE 4TH ST
Practice Address - Street 2:SUITE 2300
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5873
Practice Address - Country:US
Practice Address - Phone:503-999-5679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty