Stark Medical Group Pc

LBN: Stark Medical Group Pc
Stark Medical Group Pc is an health care organization with primary practice located at 932 W Idaho Ave Ste 100 , Ontario OR 97914-2155. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Stark Medical Group Pc can be contacted via phone (541) 889-2244, or through Stark, Brenda L via phone (541) 889-2244.

Contact Information

Primary practice address
932 W Idaho Ave Ste 100 Ontario OR 97914-2155
Phone: (541) 889-2244
Fax: (541) 889-2626
Website:
Map and Directions
Authorized official contact:
Name: Stark, Brenda L
Phone: (541) 889-2244

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 079043254N1 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200550081NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1063754208
LBN Legal business name Stark Medical Group Pc
DBA Doing business as
Authorized official Stark, Brenda L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2013
Last updated Oct 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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