Individual
KRISTIAN NICOLE STARGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
890 OAK ST SE BLDG B, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
8144 SE 62ND AVE, PORTLAND, OR 97206-8918
(804) 895-4431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18189
OR
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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