Whalio Doctors

NPI 1447703707

Ron Stout, CPO

Practitioner Orthotist Portland, OR

Practice location

Address
3101 SW Sam Jackson Park Rd, Portland, OR 97239-3009
Phone
(503) 221-3430
Mailing address
PO Box 865109, Orlando, FL 32886-5109

Registered specialties (2)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO02785 (OR)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO02785 (OR)

Registry record

NPI
1447703707
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Aug 2016
Record last updated
3 Aug 2016

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.