Organization · Type 2 NPI
Stark Street Plaza, LLC
Ambulatory Surgical Clinic/Center · Gresham, OR
NPI number
1003914243
Active
Practice location
24076 SE Stark St, Suite 310
Gresham, OR 97030-3373
Fax (503) 492-6502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
35 other providers at this address
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- Ryan Douglas Glover Armworks Hand TherapyHand Occupational Therapist Gresham, OR NPI 1760516025
- Anna Lee, PACPhysician Assistant Gresham, OR NPI 1114479458
- Anne Spiliotis, OTOccupational Therapist Gresham, OR NPI 1831308477
- Bobak Amir Ghaheri, MDOtolaryngology Physician Gresham, OR NPI 1114098696
Other ambulatory surgical clinic/center providers in Gresham
About NPI 1003914243
Stark Street Plaza, LLC's National Provider Identifier is 1003914243, issued on Sep 20, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Gresham, OR. The record was last updated on Aug 22, 2020.