STUART G STARK

PORTLAND, OR
NPI1851335558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  1472)
Enumeration Date2006-06-15
Last Update Date2022-01-26
Business Address
STUART G STARK PT
6840 S MACADAM AVE
PORTLAND, OR 97219-2314
Phone number: 503-936-8640
Mailing Address
STUART G STARK PT
333 NW 9TH AVE UNIT 1110
PORTLAND, OR 97209-3345
Phone number: 503-936-8640