# STARK PT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841460052
- **Authorized official:** SHERRI WHITAKER (OFFICE MANAGER)
- **Authorized official phone:** (503) 223-8157

## Contact information

- **Practice address:** 3903 SW KELLY SUITE 210, PORTLAND, OR 97239-4385
- **Practice address phone:** (503) 223-8157
- **Practice address fax:** (503) 248-4730
- **Mailing address:** 3903 SW KELLY SUITE 210, PORTLAND, OR 97239-4385
- **Mailing address phone:** (503) 223-8157
- **Mailing address fax:** (503) 248-4730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1472 | OR | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008