Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW T STARK, PA-C.
ActiveMedical Physician Assistant · ROSEBURG, OR
Registration Details
- NPI Number
- 1174700934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2008 (18.243611742046 yrs)
- Last Updated
- Jun 11, 2020
Practice Information
- Address
-
1937 W HARVARD AVEROSEBURG, OR, 974712720Browse OR providers · Browse ZIP 97471
- Phone
- 5416777200
- Fax
- 5412293309
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in ROSEBURG, OR
| Name | Credential | NPI |
|---|---|---|
| LAURA C SMITH | PA | 1366428203 |
| DEBRA ANN DANIELS | P.A. | 1417928672 |
| MELISSA MARIE MOORE | PA | 1851481725 |
| CYNTHIA J KEYS | P.A.-C. | 1851431597 |
| CURTIS J COLE | PA-C | 1508028721 |
| MICHELLE YVONNE LOPERA-OTTENHEIMER | PA-C | 1740444033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.