Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB STOUT
Active Sole ProprietorJACOB STOUT is a Environmental Modification (OT) healthcare provider located in PORTLAND, Oregon. NPI 1851790570 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · PORTLAND, OR
Registration Details
- NPI Number
- 1851790570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2014 (11.798925698012 yrs)
- Last Updated
- Jan 21, 2025
- License
-
60726 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
710 NE HOLLADAY STPORTLAND, OR, 972322168Browse OR providers · Browse ZIP 97232
- Phone
- 5039491727
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Environmental Modification (OT)
Other Environmental Modification (OT) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. MARY JANE C EWING | PT | 1861694648 |
| CHRISTINE MARY PANAGOS | PT | 1477744605 |
| JEFFREY PAUL GUERRA | PT | 1407027352 |
| DR. MATTHEW LOCKE WESTON | PT | 1982850871 |
| NATHAN EVANS | — | 1548749823 |
| TREVOR THOMAS PETTIGREW | PT, DPT | 1245710847 |
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.