Stark Street Plaza, Llc

LBN: Stark Street Plaza, Llc
Stark Street Plaza, Llc is an health care organization with primary practice located at 24076 Se Stark St Suite 310, Gresham OR 97030-3373. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Stark Street Plaza, Llc can be contacted via phone (503) 492-6510, or through Rockove, Shammai via phone (503) 492-6510.

Contact Information

Primary practice address
24076 Se Stark St Suite 310 Gresham OR 97030-3373
Phone: (503) 492-6510
Fax: (503) 492-6502
Website:
Map and Directions
Authorized official contact:
Name: Rockove, Shammai Doctor of Medicine (MD)
Phone: (503) 492-6510

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1003914243
LBN Legal business name Stark Street Plaza, Llc
DBA Doing business as
Authorized official Rockove, Shammai Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Popular Providers