Individual
STAR NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
959 CHURCH ST W, MONMOUTH, OR 97361-9789
(971) 267-9073
Mailing address
588 CRAVEN ST N, MONMOUTH, OR 97361-1207
(971) 267-9073
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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