Individual
MARY KATHRYN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, FNP, DNP
Contact information
Practice address
3579 FRANKLIN BLVD, EUGENE, OR 97403-2356
(541) 344-9411
Mailing address
3579 FRANKLIN BLVD, EUGENE, OR 97403-2356
(541) 344-9411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
704767
CA
363LF0000X
Family Nurse Practitioner
Primary
200750019NP
OR
363LF0000X
Family Nurse Practitioner
895557
NV
363LF0000X
Family Nurse Practitioner
95037843
CA
363LF0000X
Family Nurse Practitioner
AP60171571
WA
Other
Enumeration date
02/24/2007
Last updated
06/10/2026
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