MR. Thomas Wayne Stutzman

NPI #1376188896 in Monmouth, Oregon

Provider Information

NPI Number: 1376188896
Entity Type: Individual
Name: MR. Thomas Wayne Stutzman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 7, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 168 ACKERMAN ST E
City: Monmouth
State: Oregon
ZIP Code: 97361-2214
Phone: (503) 409-5804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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