Autumn Sage Stoutenburgh, MSW, CSWA in Ashland, OR - Counselor

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.

Contact Information

	Autumn Sage Stoutenburgh, MSW, CSWA
	678 Park St, Ashland, OR 97520-2504
	(541) 521-6537
	Not Available

Healthcare Provider's Profile

Full Name	Autumn Sage Stoutenburgh
Gender	Female
Speciality	Counselor - Mental Health
Location	678 Park St, Ashland, Oregon
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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Autumn Sage Stoutenburgh, MSW, CSWA - in Ashland, OR