Mr. Thomas Wayne Stutzman
Mr. Thomas Wayne Stutzman is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Monmouth, Oregon. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
168 Ackerman St EMonmouth, OR 97361-2214
Phone: (503) 409-5804
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 527851 |
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Record details
| NPI number | 1376188896 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2019 |
| Last updated in NPPES | November 7, 2019 |
| Mailing address | 168 Ackerman St E, Monmouth, OR 97361-2214 |