Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stout Performance and Physical Therapy LLC

Organization Sports Physical Therapist · NPI 1790593739

Stout Performance and Physical Therapy LLC is a Sports Physical Therapist in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 NE Holladay St # 150
Portland, OR 97232-2168
Phone: (503) 542-2744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X

Record details

NPI number1790593739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jake Stout — Owner/Provider · (503) 949-1727
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 22, 2024
Mailing address710 Ne Holladay St # 150, Portland, OR 97232-2168

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