Individual provider · Type 1 NPI

Autumn Sage Stoutenburgh, MSW, LCSW

Mental Health Counselor · Portland, OR

NPI number 1154944460 Active

Practice location

5441 S Macadam Ave Ste N
Portland, OR 97239-3822

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XL11468 (OR)
Mental Health Counselor Primary 101YM0800XL11468 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1154944460

Autumn Sage Stoutenburgh, MSW, LCSW's National Provider Identifier is 1154944460, issued on May 20, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 26, 2026.