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Stark Street Plaza, Llc
Ambulatory Surgical Clinic/Center in Gresham, Oregon
NPI 1003914243

Stark Street Plaza, Llc is an Ambulatory Surgical Clinic/Center based in Gresham, OR and is specialized in Ambulatory Surgical. Stark Street Plaza, Llc practices in Gresham, OR. The NPI Number for Stark Street Plaza, Llc is 1003914243 and holds a License No. (Oregon).

The current practice location address for Stark Street Plaza, Llc is 24076 Se Stark St, Gresham, OR and can be reached out via phone at 503-492-6510 and via fax at 503-492-6502.

Location: 24076 Se Stark St, Gresham, OR, 97030-3373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003914243
Provider Name
Stark Street Plaza, Llc
Credential
Provider Entity Type
Organization
Address
24076 Se Stark St, Gresham, OR, 97030-3373
Phone Number
503-492-6510
Fax Number
503-492-6502
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
24076 Se Stark St
City
Gresham
State
Oregon
Zip
97030-3373
Phone Number
503-492-6510
Fax Number
503-492-6502
person
Provider Business Mailing Address Details
Address
24076 Se Stark St
City
Gresham
State
Oregon
Zip
97030-3373
Phone Number
503-492-6510
Fax Number
503-492-6502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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