Individual
DR. KEVIN BRYAN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128
(503) 435-6580
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 435-4514
(503) 472-8691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G58664
CA
207L00000X
Anesthesiology Physician
Primary
MD27169
OR
Other
Enumeration date
10/10/2006
Last updated
06/13/2018
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