STARK STREET PLAZA, LLC

Clinic/Center - Ambulatory Surgical

Active Organization
NPI: 1003914243

Practice Address

24076 SE STARK ST
SUITE 310
Gresham, OR 97030

Phone: (503) 492-6510

Specialties

Specialty Code Primary License
Clinic/Center - Ambulatory Surgical 261QA1903X Yes -

Frequently Asked Questions

NPI 1003914243 is the National Provider Identifier for STARK STREET PLAZA, LLC, a Clinic/Center - Ambulatory Surgical provider located in Gresham, OR. This NPI was enumerated on September 20, 2006.

Quick Facts

NPI
1003914243
Type
Organization
Enumerated
Sep 20, 2006
Last Updated
Aug 22, 2020

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