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

Kaeley Stout

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356182257

Kaeley Stout is a Physician Assistant in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2025, 1 year ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
1
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-8573
Fax: (503) 494-3457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2730 S Moody Ave, Portland, OR 97201-5042 — (503) 494-3633

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA226904 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356182257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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