Individual
MARILYN ARLENE STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
151 W 7TH AVE, EUGENE, OR 97401-1100
(541) 682-4464
(541) 682-3967
Mailing address
151 W 7TH AVE, EUGENE, OR 97401-1100
(541) 682-4464
(541) 682-3967
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
079011257LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079011257LPN
OREGON STATE BOARD OF NURSING
OR
Enumeration date
12/08/2010
Last updated
12/08/2010
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