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Organization
STARK PT INC
Active
Organization
STARK PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI WHITAKER (OFFICE MANAGER)
(503) 223-8157
Entity
Organization
Contact information
Practice address
3903 SW KELLY SUITE 210, PORTLAND, OR 97239-4385
(503) 223-8157
(503) 248-4730
Mailing address
3903 SW KELLY SUITE 210, PORTLAND, OR 97239-4385
(503) 223-8157
(503) 248-4730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1472
OR
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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