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STARK STREET PLAZA, LLC
NPI 1003914243
Clinic/Center - Ambulatory Surgical in Gresham, OR

Active since September 20, 2006
24076 SE STARK ST, SUITE 310, GRESHAM, OR 97030(503) 492-6510(503) 492-6502 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stark Street Plaza, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARK STREET PLAZA, LLC (NPI 1003914243) is a healthcare organization registered as an ambulatory surgical in Gresham, Oregon and active in the NPI registry since September 2006. The organization lists Shammai Rockove, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003914243
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTARK STREET PLAZA, LLC
Location Address24076 SE STARK ST, SUITE 310Gresham, OR 97030-3373
Mailing Address24076 Se Stark St, Suite 310Gresham, OR 97030-3373 · (503) 492-6510 · Fax (503) 492-6502
Phone(503) 492-6510
Fax(503) 492-6502
Organization SubpartNo
Authorized OfficialShammai RockoveMedical Director · (503) 492-6510
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003914243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
24076 SE STARK ST, Gresham, OR 97030
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR MENS AND WOMENS UROLOGY LLC
Specialist
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 492-6510
MR. CLEM GEORGE EISCHEN JR. PT
Physical Therapist
24076 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 491-1666
GRESHAM PROFESSIONAL PHARMACY
Pharmacy (Community/Retail Pharmacy)
24076 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 491-0117
MOUNTAINVIEW MRI LLC
Physiological Laboratory
24076 SE STARK ST, SUITE 180
GRESHAM, OR 97030
Multnomah County (503) 661-6500
DR. BOBAK AMIR GHAHERI M.D.
Otolaryngology
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 488-2600
ANNA LEE PAC
Physician Assistant
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 488-2600
GREGORY GULLO MD PC
Anesthesiology (Pain Medicine)
24076 SE STARK ST, SUITE 320
GRESHAM, OR 97030
Multnomah County (503) 512-1212
GLEN A MILLIGAN M.D.
Specialist
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 465-5461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stark Street Plaza, LLC's NPI number?

The NPI number for Stark Street Plaza, LLC is 1003914243. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Stark Street Plaza, LLC located?

Stark Street Plaza, LLC is located at 24076 SE Stark St Suite 310, Gresham, OR 97030. The listed phone number is (503) 492-6510.

What is Stark Street Plaza, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Stark Street Plaza, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.