Stark Medical, PC

NPI #1316107782 in Ontario, Oregon

Provider Information

NPI Number: 1316107782
Entity Type: Organization
Organization Name: Stark Medical, PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 10, 2008
Last Updated: Jun 10, 2008

Practice Location

Address: 932 W IDAHO AVE STE 100
City: Ontario
State: Oregon
ZIP Code: 97914-2155
Phone: (541) 889-2244

Authorized Official

Name: BRENDA L STARK, BS/BM
Title: OFFICE ADMINISTRATOR
Phone: (541) 889-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Allergy & Immunology - Allergy — Allergy	207KA0200X
Family Medicine	207Q00000X
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Internal Medicine	207R00000X	Primary

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