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Kaeley Stout

NPI 1356182257 · on the registry since 2024

Practice

Address
3303 S Bond Ave
Portland, OR 97239
Phone
(503) 494-8573
Fax
(503) 494-3457
Organisation at this address
University Professional Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
210

Additional practice sites

  • 2730 S Moody Ave, Portland, OR

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-03

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