Ron Stout, CPO02785

NPI #1447703707 in Portland, Oregon

Provider Information

NPI Number: 1447703707
Entity Type: Individual
Name: Ron Stout, CPO02785
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CPO02785
Enumeration Date: Aug 3, 2016
Last Updated: Aug 3, 2016

Practice Location

Address: 3101 SW SAM JACKSON PARK RD
City: Portland
State: Oregon
ZIP Code: 97239-3009
Phone: (503) 221-3430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary
Prosthetist	224P00000X

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