VITALY STARR LIC. TATTOO ARTIST
NPI 1396564787
Specialist/Technologist, Other in Portland, OR

Active since October 03, 2024
1614 NE ALBERTA ST, PORTLAND, OR 97211(503) 453-4557 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2024, Oct 3, 2024 (2 updates tracked since 2024).

About Vitaly Starr Lic. Tattoo Artist NPPES

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

VITALY STARR LIC. TATTOO ARTIST (NPI 1396564787) is an individual specialist/technologist, other provider in Portland, Oregon, licensed in Oregon (10153107) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1396564787
Entity TypeIndividual
Primary Taxonomy246Z00000X
Provider Legal NameVITALY STARRCredential: LIC. TATTOO ARTIST
Location Address1614 NE ALBERTA STPortland, OR 97211-5048
Mailing Address1614 Ne Alberta StPortland, OR 97211-5048 · (503) 453-4557
Sole ProprietorNo
Enumeration DateOctober 3, 2024
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1396564787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License Licensed in OR · 10153107
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
1614 NE ALBERTA ST, Portland, OR 97211

Other Names 1

Professional Name (2)Chaz Vitale

Other Providers at the Same Location NPPES 2

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

Acupuncturist
1614 NE ALBERTA ST
PORTLAND, OR 97211
Midwife
1614 NE ALBERTA ST
PORTLAND, OR 97211

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 Vitaly Starr's NPI number?

The NPI number for Vitaly Starr is 1396564787. It was assigned to this individual provider in the NPPES registry on October 3, 2024. The provider is also known as Chaz Vitale.

Where is Vitaly Starr located?

Vitaly Starr practices at 1614 NE Alberta St, Portland, OR 97211. The listed phone number is (503) 453-4557.

What is Vitaly Starr's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Vitaly Starr was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.