| Debora A. Stout, Pmhnp, Llc | |
|
20 Basin St Ste 106 Astoria OR 97103-6237 | |
| (503) 338-6106 | |
| (503) 338-6126 |
| Full Name | Debora A. Stout, Pmhnp, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 20 Basin St Ste 106, Astoria, Oregon |
| Authorized Official Name and Position | Ddebora Anne Stout (OWNER / OPERATOR) |
| Authorized Official Contact | 5033386106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debora A. Stout, Pmhnp, Llc Po Box 1310 Astoria OR 97103-1310 Ph: (503) 338-6106 | Debora A. Stout, Pmhnp, Llc 20 Basin St Ste 106 Astoria OR 97103-6237 Ph: (503) 338-6106 |
| NPI Number | 1982564837 |
|---|---|
| Provider Enumeration Date | 11/13/2025 |
| Last Update Date | 11/13/2025 |
| Certification Date | 11/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982564837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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