Organization
STAR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PETRIDGE (ADVOCATE/ADMIN ASSISTANT)
(541) 881-0153
Entity
Organization
Contact information
Practice address
182 SW 10TH ST, ONTARIO, OR 97914-2134
(541) 881-0153
Mailing address
182 SW 10TH ST, ONTARIO, OR 97914-2134
(541) 881-0153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080C0008X
Child Abuse Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/13/2025
Last updated
08/28/2025
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