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Individual

JULIE STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-5546
Mailing address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 801-2183

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA212940
OR
363A00000X
Physician Assistant

Other

Enumeration date
10/31/2022
Last updated
08/08/2024
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