IndividualActive
Andrea Stout, M.D.
NPI 1902040355 · Pediatrics Physician · Salem, OR
Provider details
- NPI number
- 1902040355
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2478 13th St Se
Salem, OR 97302-2546
Phone: (503) 362-2481
Fax: (503) 375-8700
Approximate (ZIP-level) locationGet directions
Mailing address
2478 13th St Se
Salem, OR 97302-2546
Registry dates
- Enumerated
- 2009-04-29
- Last updated
- 2021-02-19
- Certified
- 2021-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.