National Provider Identifier Database

VITALY STARR, LIC. TATTOO ARTIST – NPI #1396564787
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

VITALY STARR, LIC. TATTOO ARTIST
1614 NE ALBERTA ST
PORTLAND, OR97211-5048
Phone: 503-453-4557
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for VITALY STARR

NPI Number 1396564787
Credentials LIC. TATTOO ARTIST
Entity Individual
Enumeration date 10/03/2024
Last updated 10/08/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • OR License #: 10153107
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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