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Search › Oregon › 2251S0007X

Jacob Stout

NPI 1851790570 · on the registry since 2014 · sole proprietor

Practice

Address
710 Ne Holladay St
Portland, OR 97232
Phone
(503) 949-1727
Organisation at this address
Funkxn Llc
Crux Physio Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
2251S0007X
2251S0007X
Also registered as
225100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-21

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