Jacob Stout

NPI #1851790570 in Portland, Oregon

Provider Information

NPI Number
1851790570
Entity Type
Individual
Name
Jacob Stout
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist - Sports
Enumeration Date
Aug 19, 2014
Last Updated
Jan 21, 2025

Practice Location

Address
710 NE HOLLADAY ST
State
Oregon
ZIP Code
97232-2168
Phone
(503) 949-1727

Specialties & Taxonomy Codes

Specialty
Physical Therapist
Physical Therapist - SportsSports

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