Individual
MRS. STAR ANN KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10456 SW 63RD DRIVE, PORTLAND, OR 97219
(503) 490-6068
Mailing address
10456 SW 63RD DRIVE, PORTLAND, OR 97219-1552
(503) 490-6068
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
01/04/2011
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