Provider Demographics
NPI:1043318702
Name:STARKER, JOAN E (MSW PHD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:E
Last Name:STARKER
Suffix:
Gender:F
Credentials:MSW PHD
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:E
Other - Last Name:RAPPAPORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10175 SW BARBUR BLVD
Mailing Address - Street 2:SUITE 300B-A
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5908
Mailing Address - Country:US
Mailing Address - Phone:503-246-7332
Mailing Address - Fax:503-246-4048
Practice Address - Street 1:10175 SW BARBUR BLVD
Practice Address - Street 2:SUITE 300B-A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-5908
Practice Address - Country:US
Practice Address - Phone:503-246-7332
Practice Address - Fax:503-246-4048
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR001771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R103367Medicare ID - Type Unspecified