| Stark Medical Group Pc | |
|
932 W Idaho Ave Ste 100 Ontario OR 97914-2155 | |
| (541) 889-2244 | |
| (541) 889-2626 |
| Full Name | Stark Medical Group Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 932 W Idaho Ave Ste 100, Ontario, Oregon |
| Authorized Official Name and Position | Brenda L Stark (OFFICE MANAGER) |
| Authorized Official Contact | 5418892244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stark Medical Group Pc Po Box J Ontario OR 97914-0020 Ph: (541) 889-2244 | Stark Medical Group Pc 932 W Idaho Ave Ste 100 Ontario OR 97914-2155 Ph: (541) 889-2244 |
| NPI Number | 1063754208 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 06/22/2026 |
| Medicare PECOS PAC ID | 4284873886 |
|---|---|
| Medicare Enrollment ID | O20130611000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063754208 | NPI | - | NPPES |
| Provider Name | Jody A Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851472989 PECOS PAC ID: 0244123743 Enrollment ID: I20040206000952 |
| Provider Name | Mary K Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871629055 PECOS PAC ID: 8820182918 Enrollment ID: I20070920000149 |
| Provider Name | Rieneke D White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851649933 PECOS PAC ID: 8325290216 Enrollment ID: I20151207001359 |
| Provider Name | Sarah B Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720144793 PECOS PAC ID: 2961889381 Enrollment ID: I20231102000841 |
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