STARK STREET PLAZA, LLC

GRESHAM, OR
NPI1003914243
Entity TypeOrganization
Authorized ContactSHAMMAI ROCKOVE
Medical Director
503-492-6510
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2006-09-20
Last Update Date2020-08-22
Business Address
STARK STREET PLAZA, LLC
24076 SE STARK ST SUITE 310
GRESHAM, OR 97030-3373
Phone number: 503-492-6510
Mailing Address
STARK STREET PLAZA, LLC
24076 SE STARK ST SUITE 310
GRESHAM, OR 97030-3373
Phone number: 503-492-6510
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