BLUE STAR HEALING ARTS PC NPI 1578865275

NPI Information

  • NPI: 1578865275
  • Provider Name: BLUE STAR HEALING ARTS, PC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 714 NW 5TH ST
    GRANTS PASS, OR
    ZIP 97526
  • Phone: (541) 244-1511

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NPI Details

BLUE STAR HEALING ARTS, PC is a health service clinic center in Grants Pass, OR. BLUE STAR HEALING ARTS, PC NPI is 1578865275. The provider is registered as an organization entity type.

The provider's business location address is:

714 NW 5TH ST
GRANTS PASS, OR
ZIP 97526-529
Phone: (541) 244-1511
Fax: (541) 244-1512

The provider's authorized official is Mona Mynnel Tara .
The authorized official title is Owner and has the following contact phone number (541) 244-2292.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceMD15235OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E98978MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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