Autumn Sage Stoutenburgh, MSW, CSWA is a
Counselor - Mental Health based in Ashland, Oregon. Autumn Sage Stoutenburgh is licensed to practice in Oregon (license number A4715) and her current practice location is
678 Park St, Ashland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 521-6537.
NPI number for Autumn Sage Stoutenburgh is 1154944460 and her current mailing address is 678 Park St, Ashland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154944460.
Healthcare Provider's Profile
Full Name | Autumn Sage Stoutenburgh |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 678 Park St, Ashland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154944460
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 05/21/2020
Medical Identifiers
Medical identifiers for Autumn Sage Stoutenburgh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154944460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | A4715 (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | A4715 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Sage Stoutenburgh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Autumn Sage Stoutenburgh, MSW, CSWA 678 Park St, Ashland, OR 97520-2504 Ph: (541) 521-6537 | Autumn Sage Stoutenburgh, MSW, CSWA 678 Park St, Ashland, OR 97520-2504 Ph: (541) 521-6537 |
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