Provider Demographics
NPI:1003809443
Name:STARRETT, RICHARD P (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:P
Last Name:STARRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1021 JUNE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1516
Mailing Address - Country:US
Mailing Address - Phone:541-386-0007
Mailing Address - Fax:541-386-2675
Practice Address - Street 1:1021 JUNE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1516
Practice Address - Country:US
Practice Address - Phone:541-386-0007
Practice Address - Fax:541-386-2675
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD20611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS1714941OtherDEA
E64760Medicare UPIN
BS1714941OtherDEA