Individual
JOLENE M STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
946 SW VETERANS WAY STE 100, REDMOND, OR 97756-2700
(541) 527-4386
Mailing address
1441 SW CHANDLER AVE STE 103, BEND, OR 97702-3208
(541) 797-3052
(541) 797-7672
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5784
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270927
—
OR
Enumeration date
09/26/2007
Last updated
03/02/2022
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