Individual
ANDREW STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SW ACADEMY ST, SUITE 333, DALLAS, OR 97338-1922
(503) 831-5970
Mailing address
182 SW ACADEMY ST, SUITE 333, DALLAS, OR 97338-1922
(503) 831-5970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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