Search › Oregon › 122400000X
Jonathan Stout
NPI 1053445221 · on the registry since 2007 · sole proprietor
Practice
- Address
- 145 Ne 3rd St
Mcminnville, OR 97128 - Phone
- (503) 472-0990
Registry record
- Primary taxonomy
- 122400000X
122400000X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon