Individual
ELIJAH STARRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 98683-0401
(360) 818-9593
(360) 828-1001
Mailing address
16821 SE MCGILLIVRAY BLVD STE 100, VANCOUVER, WA 98683-0401
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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