NPI 1376188896
Thomas Wayne Stutzman
Practice location
- Address
- 168 Ackerman St E, Monmouth, OR 97361-2214
- Phone
- (503) 409-5804
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1376188896
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Nov 2019
- Record last updated
- 7 Nov 2019
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.