Stark Street Plaza, LLC
NPI #1003914243 in Gresham, Oregon
Provider Information
- NPI Number
- 1003914243
- Entity Type
- Organization
- Organization Name
- Stark Street Plaza, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. SHAMMAI ROCKOVE, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (503) 492-6510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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