Organization · Type 2 NPI
Stark Medical Group PC
Family Nurse Practitioner · Ontario, OR
NPI number
1063754208
Active
Practice location
932 W Idaho Ave Ste 100
Ontario, OR 97914-2155
Fax (541) 889-2626
Mailing address
PO Box J
Ontario, OR 97914-0020
Other practice locations
- 1219 SW 4th Ave, Suite 2, Ontario, OR 97914 · (541) 889-2244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 079043254N1 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200550081NP (OR) |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Chandler Health PCAdult Health Nurse Practitioner Ontario, OR NPI 1770308074
- Four Rivers Healthcare ClinicFamily Health Clinical Nurse Specialist Ontario, OR NPI 1588999007
- Stark Medical, PCInternal Medicine Physician Ontario, OR NPI 1316107782
- Sarah Beth Chandler, DNPGerontology Nurse Practitioner Ontario, OR NPI 1720144793
Other family nurse practitioner providers in Ontario
About NPI 1063754208
Stark Medical Group PC's National Provider Identifier is 1063754208, issued on Mar 26, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ontario, OR. The record was last updated on Jun 22, 2026.