JODY A. STARK

ONTARIO, OR
NPI1851472989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  079043254N1)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  200550081NP)
Enumeration Date2006-10-17
Last Update Date2022-10-19
Business Address
JODY A. STARK NP
932 W IDAHO AVE SUITE 100
ONTARIO, OR 97914-2155
Phone number: 541-889-2244
Mailing Address
JODY A. STARK NP
PO BOX J
ONTARIO, OR 97914-0020
Phone number: 541-889-2244