Individual
WILLIAM STOUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3640 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3738
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
7268
OK
207RC0000X
Cardiovascular Disease Physician
Primary
DO209928
OR
207RC0000X
Cardiovascular Disease Physician
PG188475
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
08/23/2022
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