Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stark Medical Group PC

Organization Internal Medicine Physician · NPI 1063754208

Stark Medical Group PC is an Internal Medicine Physician in Ontario, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

932 W Idaho Ave Ste 100
Ontario, OR 97914-2155
Phone: (541) 889-2244
Fax: (541) 889-2626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1219 Sw 4th Ave, Ontario, OR 97914 — (541) 889-2244

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 079043254N1 (OR)
Internal Medicine Physician Taxonomy 207R00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 200550081NP (OR)
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1063754208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Stark — Office Manager · (541) 889-2244
NPI enumeratedMarch 26, 2013
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing addressPo Box J, Ontario, OR 97914-0020

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