MR. THOMAS WAYNE STUTZMAN
NPI 1376188896
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Monmouth, OR
- Individual
- Male
- Residential Treatment Facility, Intellec...
About THOMAS STUTZMAN
This page provides the complete NPI Profile along with additional information for Thomas Stutzman, a provider established in Monmouth, Oregon with a medical specialization in Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1376188896 assigned on November 2019. The practitioner's primary taxonomy code is 320600000X with license number 527851 (). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1376188896 Verify this NPI
- Provider Name
- MR. THOMAS WAYNE STUTZMAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 168 ACKERMAN ST E MONMOUTH, OR 97361
- Location Phone
- (503) 409-5804
- Mailing Address
- 168 ACKERMAN ST E MONMOUTH, OR 97361
- Mailing Phone
- (503) 409-5804
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-07-2019
- Last Update Date
- 11-07-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 527851
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MONMOUTH, OR 97361
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376188896, enumerated as an "individual" on November 07, 2019.
The provider is located at 168 ACKERMAN ST E MONMOUTH, OR 97361 and the phone number is (503) 409-5804.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
