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ANDREW STARK
NPI 1093123374
Counselor - Mental Health in Dallas, OR

Active since July 30, 2014
182 SW ACADEMY ST, SUITE 333, DALLAS, OR 97338(503) 831-5970 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Stark NPPES

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

ANDREW STARK (NPI 1093123374) is an individual mental health provider in Dallas, Oregon and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1093123374
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW STARK
Location Address182 SW ACADEMY ST, SUITE 333Dallas, OR 97338-1922
Mailing Address182 Sw Academy St, Suite 333Dallas, OR 97338-1922 · (503) 831-5970
Phone(503) 831-5970
Sole ProprietorNo
Enumeration DateJuly 30, 2014
✔ NPI 1093123374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
182 SW ACADEMY ST, Dallas, OR 97338
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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.

JESSICA LYNN DAVIDSON
Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
ROBERT AUSTIN ZEPEDA
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 962-3928
KIMBERLY DAWN HOWARD QMHA
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289
JEDONNE JORSTAD BA
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Polk County (503) 623-9289
MELANIE MYERS M.S.
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 831-5970
ZACHARY BEELER
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
LINNEA BAKER
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
SUSAN MARIE KLEIN
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289

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 Andrew Stark's NPI number?

The NPI number for Andrew Stark is 1093123374. It was assigned to this individual provider in the NPPES registry on July 30, 2014.

Where is Andrew Stark located?

Andrew Stark practices at 182 SW Academy St Suite 333, Dallas, OR 97338. The listed phone number is (503) 831-5970.

What is Andrew Stark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Andrew Stark was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.