Individual provider · Type 1 NPI

Rose Stout

Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1033390083 Active

Practice location

2415 SE 43rd Ave, Suite 100
Portland, OR 97206-1600

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XNone listed

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1033390083

Rose Stout's National Provider Identifier is 1033390083, issued on Nov 19, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Portland, OR. The record was last updated on Feb 28, 2008.