OrganizationActive
Stark Street Plaza, LLC
NPI 1003914243 · Ambulatory Surgical Clinic/Center · Gresham, OR
Provider details
- NPI number
- 1003914243
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shammai Rockove, Medical Director(503) 492-6510
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24076 Se Stark St
Suite 310
Gresham, OR 97030-3373
Phone: (503) 492-6510
Fax: (503) 492-6502
Street-level locationGet directions
Mailing address
24076 Se Stark St
Gresham, OR 97030-3373
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.