Organization
CHARLES R STARR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROGER STARR MD (PHYSICIAN)
(503) 717-0303
Entity
Organization
Contact information
Practice address
550 22ND ST, ASTORIA, OR 97103-3312
(503) 338-7554
(503) 325-4905
Mailing address
PO BOX 2604, GEARHART, OR 97138-2604
(503) 717-0303
(503) 717-1901
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
7129
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119981
—
WA
05
—
175711
—
OR
Enumeration date
12/29/2007
Last updated
12/29/2007
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