IndividualActive
Kaeley Stout
NPI 1356182257 · Medical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1356182257
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-8573
Fax: (503) 494-3457
Street-level locationGet directions
Mailing address
3303 S Bond Ave
Portland, OR 97239-4501
Additional practice locations (1)
- 2730 S Moody AvePortland, OR 97201-5042Phone: (503) 494-3633
Registry dates
- Enumerated
- 2024-06-04
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.