Jonathan Duane Stout

Denturist · McMinnville, OR

Individual Active NPI

NPI number 1053445221

Practice location

145 NE 3rd St
McMinnville, OR 97128-4900
Phone
(503) 472-0990

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NPI record

NPI
1053445221
Entity type
Individual (Type 1)
Enumeration date
March 16, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Denturist Primary 122400000X DT-DO-302894 RI

About Jonathan Stout

Jonathan Duane Stout is a healthcare provider registered in the NPI registry with the primary taxonomy Denturist (code 122400000X). The practice location is 145 NE 3rd St, McMinnville, OR 97128-4900. The NPI number 1053445221 was assigned on March 16, 2007 and the record was last updated on July 8, 2007.

Jonathan Stout lists a license in the registry: #DT-DO-302894 (RI) for Denturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Duane Stout?

The NPI number is 1053445221.

What is the phone number of Jonathan Stout?

The phone number listed for the practice location is (503) 472-0990.

Where is Jonathan Stout located?

145 NE 3rd St, McMinnville, OR 97128-4900.

What is the taxonomy code for Jonathan Stout?

The primary taxonomy code is 122400000X – Denturist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.