Search › Oregon › 101YM0800X
Jordyn Stovall
NPI 1396640744 · on the registry since 2026 · sole proprietor
Practice
- Address
- 17148 Se Kelly St
Portland, OR 97236 - Phone
- (971) 506-4556
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-10-13
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