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Individual

DAMON C STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(415) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA152945
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA152945
LICENSE
OR
Enumeration date
04/06/2009
Last updated
04/01/2025
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