institution
Stark Medical Group Pc
Primary Care Nurse Practitioner in Ontario, Oregon
NPI 1063754208

Stark Medical Group Pc is a Primary Care Nurse Practitioner based in Ontario, OR and is specialized in Primary Care. Stark Medical Group Pc practices in Ontario, OR. The NPI Number for Stark Medical Group Pc is 1063754208 and holds a License No. 079043254N1 (Oregon).

The current practice location address for Stark Medical Group Pc is 932 W Idaho Ave Ste 100, Ontario, OR and can be reached out via phone at 541-889-2244 and via fax at 541-889-2626. You can also correspond with Stark Medical Group Pc through the mailing address at PO BOX J, ONTARIO, OR - 97914-0020 (mailing address contact number: 541-889-2244).

Location: 932 W Idaho Ave Ste 100, Ontario, OR, 97914-0020
institution
Provider Profile Details
NPI Number
1063754208
Provider Name
Stark Medical Group Pc
Credential
Provider Entity Type
Organization
Address
932 W Idaho Ave Ste 100, Ontario, OR, 97914-0020
Phone Number
541-889-2244
Fax Number
541-889-2626
Provider Enumeration Date
03/26/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
932 W Idaho Ave Ste 100
City
State
Zip
97914-2155
Phone Number
541-889-2244
Fax Number
541-889-2626
person
Provider Business Mailing Address Details
Address
932 W Idaho Ave Ste 100
City
State
Zip
97914-2155
Phone Number
541-889-2244
Fax Number
541-889-2626
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200550081NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
079043254N1 (Oregon)
Definition
Definition to come...
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