NPI 1265526990

Edward Harlan Stark, MD

Practitioner Orthopaedic Surgery Physician Clackamas, OR

Practice location

Address: 10100 SE Sunnyside Rd, Clackamas, OR 97015-9764
Phone: (503) 786-8435
Mailing address: 10344 SE Bristol Court, Happy Valley, OR 97086

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence MD07812 (OR)

Other Orthopaedic Surgery providers in Oregon →

Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence MD00034803 (WA)

Registry record

NPI: 1265526990
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.