Individual
CAROL LYNN REYNOLDS STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
E3780
TX
2084P0800X
Psychiatry Physician
Primary
MD15667
OR
Other
Enumeration date
11/29/2006
Last updated
03/07/2023
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