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1851335558
STUART G STARK
PORTLAND, OR
NPI
1851335558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 1472)
Enumeration Date
2006-06-15
Last Update Date
2022-01-26
Business Address
STUART G STARK PT
6840 S MACADAM AVE
PORTLAND, OR 97219-2314
Phone number: 503-936-8640
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Mailing Address
STUART G STARK PT
333 NW 9TH AVE UNIT 1110
PORTLAND, OR 97209-3345
Phone number: 503-936-8640
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