Individual provider · Type 1 NPI

Ciara Jordan Stoutenburgh, PA-C

Medical Physician Assistant · Anchorage, AK

NPI number 1902140130 Active

Practice location

3851 Piper St Ste U466
Anchorage, AK 99508-6905

Call (907) 569-1333 Map

Fax (907) 569-1433

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Medical Physician Assistant Primary 363AM0700X200275 (AK)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1902140130

Ciara Jordan Stoutenburgh, PA-C's National Provider Identifier is 1902140130, issued on Nov 9, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Anchorage, AK. The record was last updated on Jan 20, 2026.