Ardath Stout is a Clinical in Tillamook, Oregon. Ardath Stout practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ardath Stout is 1508996794. The last update date is 2007-07-09.
Ardath Stout's current location address is 21385 Trask River Rd, Tillamook, Oregon. You can contact this provider via phone number 5038428201 and fax number 5038151870. The mailing address for Ardath Stout is 21385 Trask River Rd, Tillamook, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ardath Stout |
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Address | 21385 Trask River Rd, Tillamook, Oregon |
Phone Number | 5038428201 |
Fax Number | 5038151870 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1508996794 |
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Provider Enumeration Date | 2007-03-06 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 21385 Trask River Rd |
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City | Tillamook |
State | Oregon (OR) |
Post Code | 971418965 |
Phone Number | 5038428201 |
Fax Number | 5038151870 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | L3837 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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197749 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ardath Stout by the Centers for Medicare & Medicaid Services?
The Ardath Stout has been issued the NPI (National Provider Identifier) 1508996794 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ardath Stout?
The Ardath Stout is situated at 21385 Trask River Rd, in the city of Tillamook, state of OR, with the zip code 971418965.
What is Ardath Stout's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ardath Stout's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Ardath Stout receive its 1508996794 assignment from the Centers for Medicare & Medicaid Services?
The Ardath Stout was assigned its 1508996794 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information regarding Ardath Stout, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ardath Stout, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.