Individual
ALLEN LYTTON STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 OSWEGO POINTE DR, SUITE 205, LAKE OSWEGO, OR 97034
(503) 635-9336
(503) 635-5414
Mailing address
PO BOX 1110, MULINO, OR 97042
(503) 632-7426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
E2875
TX
2084P0800X
Psychiatry Physician
Primary
MD15722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O26542
OR
OR
Enumeration date
11/29/2006
Last updated
03/07/2023
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