JACOB STOUT

Physical Therapist - Sports

Active Individual
NPI: 1851790570

Practice Address

710 NE HOLLADAY ST
Portland, OR 97232

Phone: (503) 949-1727

Specialties

Specialty Code Primary License
Physical Therapist 225100000X No 60726 (OR)
Physical Therapist - Sports 2251S0007X Yes -

Frequently Asked Questions

NPI 1851790570 is the National Provider Identifier for JACOB STOUT, a Physical Therapist - Sports provider located in Portland, OR. This NPI was enumerated on August 19, 2014.
JACOB STOUT practices at 710 NE HOLLADAY ST, Portland, OR 97232.

Quick Facts

NPI
1851790570
Type
Individual
Enumerated
Aug 19, 2014
Last Updated
Jan 21, 2025

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