JACOB STOUT

Sports Physical Therapist

NPI: 1851790570IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapist

Physical Therapist

Code: 225100000X

60726(OR)

Sports Physical TherapistPrimary

Physical Therapist — Sports

Code: 2251S0007X

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE

Class of 2014

Contact & Hours

Address: 710 NE HOLLADAY ST
PORTLAND, OR 97232
Phone: (503) 949-1727

Location

Practice Location

710 NE HOLLADAY ST, PORTLAND, OR

Quick Facts

NPI: 1851790570
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 12

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