NPI 1053445221

Jonathan Duane Stout

Practitioner Denturist McMinnville, OR

Practice location

Address: 145 NE 3rd St, McMinnville, OR 97128-4900
Phone: (503) 472-0990

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-302894 (RI)

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Registry record

NPI: 1053445221
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.