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

Kelly Ann Stark

Individual provider Massage Therapist · NPI 1104332006

Kelly Ann Stark is a Massage Therapist in Hillsboro, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2017

Practice location Address checks out

2167 NW 185th Ave
Hillsboro, OR 97124-7074
Phone: (503) 336-3456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 11440 (OR)

Record details

NPI number1104332006
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 15, 2017
Last updated in NPPESDecember 15, 2017
Mailing address1612 Ne Parkside Dr, Hillsboro, OR 97124-3925

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