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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STARK MEDICAL GROUP PC

Active Organization

STARK MEDICAL GROUP PC is a Family Nurse Practitioner organization located in ONTARIO, Oregon. NPI 1063754208 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ONTARIO, OR

Registration Details

NPI Number
1063754208
Provider Type
Organization
NPI Issued
Mar 26, 2013 (13.37477406328 yrs)
Last Updated
Oct 19, 2022
Licenses
200550081NP (OR)
079043254N1 (OR)

Practice Information

Address
932 W IDAHO AVE STE 100
ONTARIO, OR, 979142155
Browse OR providers · Browse ZIP 97914
Phone
5418892244
Fax
5418892626
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Organizations in ONTARIO, OR

Name NPI
WHITE FAMILY MEDICINE 1881339497
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.