National Provider Identifier Database

CHARLES R STARR MD
Plastic and Reconstructive Surgery


Contact Information

CHARLES R STARR, MD
550 22ND ST
ASTORIA, OR97103-3312
Phone: 503-338-7554
Fax: 503-325-4905
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for CHARLES R STARR, MD

NPI Number 1861677635
Legal business name
LBN
CHARLES R STARR, MD
Authorized official CHARLES STARR - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 12/29/2007
Last updated 12/29/2007 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 7129
  • OR Medicaid: 175711
  • WA Medicaid: 1119981

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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