Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS WAYNE STUTZMAN
Active Sole ProprietorMR. THOMAS WAYNE STUTZMAN is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in MONMOUTH, Oregon. NPI 1376188896 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · MONMOUTH, OR
Registration Details
- NPI Number
- 1376188896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2019 (6.7977940005965 yrs)
- Last Updated
- Nov 7, 2019
- License
-
527851
- Sole Proprietor
- Yes
Practice Information
- Address
-
168 ACKERMAN ST EMONMOUTH, OR, 973612214Browse OR providers · Browse ZIP 97361
- Phone
- 5034095804
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.