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Vitaly Starr, LIC. TATTOO ARTIST

NPI 1396564787 · on the registry since 2024

Practice

Address
1614 Ne Alberta St
Portland, OR 97211
Phone
(503) 453-4557
Clinicians at this address
4

Registry record

Primary taxonomy
246Z00000X
246Z00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-08

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