Organization Active NPI

Debora a. Stout, Pmhnp, LLC

  • Adult Mental Health Clinic/Center
  • Astoria, OR
National Provider Identifier
1982564837
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DEBORA A. STOUT, PMHNP, LLC
Practice address
20 Basin St Ste 106
Astoria, OR 97103-6237
Phone
(503) 338-6106
Fax
(503) 338-6126
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ddebora Anne Stout, PMHNP
Title
Owner / Operator
Phone
(503) 338-6106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

20 Basin St Ste 106
Astoria, OR 97103-6237

Mailing address

PO Box 1310
Astoria, OR 97103-1310
Phone (503) 338-6106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1982564837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971031310",
            "telephone_number": "503-338-6106",
            "fax_number": "503-338-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BASIN ST STE 106",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036237",
            "telephone_number": "503-338-6106",
            "fax_number": "503-338-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORA A. STOUT, PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "DDEBORA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "503-338-6106",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.