Vitaly Starr, LICTATTOOARTIST
Vitaly Starr, LICTATTOOARTIST is an Other Specialist/Technologist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
1614 NE Alberta StPortland, OR 97211-5048
Phone: (503) 453-4557
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Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X · Licence 10153107 (OR) |
|---|
Record details
| NPI number | 1396564787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Credentials | LICTATTOOARTIST |
| Sole proprietor | No |
| NPI enumerated | October 3, 2024 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
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