Healthcare Provider Details

I. General information

NPI: 1386548782
Provider Name (Legal Business Name): STARLEY FAMILY DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 15TH ST
ASTORIA OR
97103-3813
US

IV. Provider business mailing address

520 15TH ST
ASTORIA OR
97103-3813
US

V. Phone/Fax

Practice location:
  • Phone: 503-325-6662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRITTANY KELLY
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 503-325-6662