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Search › Oregon › 363AM0700X

Matthew Stark, PA-C

NPI 1174700934 · on the registry since 2008

Practice

Address
1937 W Harvard Ave
Roseburg, OR 97471
Phone
(541) 677-7200
Fax
(541) 229-3309
Organisation at this address
Evergreen Family Medicine, Pc
Centennial Medical Group East, Llc
Centennial Medical Group East, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363AM0700X
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon