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Contact Information

CHARLES R STARR, MD
550 22ND ST
ASTORIA, OR97103-3312
 Phone: 503-338-7554
 Fax: 503-325-4905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES R STARR, MD

NPI Number 1861677635
LBN Legal business name CHARLES R STARR, MD
Authorized official CHARLES STARR - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2007
Last updated 12/29/2007 - About 18 years ago
Identifiers
OR License # 7129
OR Medicaid 175711
WA Medicaid 1119981
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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