Individual
CIARA JORDAN STOUTENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3851 PIPER ST STE U466, ANCHORAGE, AK 99508-6905
(907) 569-1333
(907) 569-1433
Mailing address
3851 PIPER ST STE U466, ANCHORAGE, AK 99508-6905
(907) 569-1333
(907) 569-1433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363AM0700X
Medical Physician Assistant
Primary
200275
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2012
Last updated
01/20/2026
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