Star Center

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

STAR CENTER

Practice address

182 SW 10TH St
Ontario, OR 97914-2134

Phone

(541) 881-0153

NPI assigned

Aug 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Petridge

Title

Advocate/Admin Assistant

Phone

(541) 881-0153

Specialties & licenses 6

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1477439644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SW 10TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142134",
            "telephone_number": "541-881-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW 10TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142134",
            "telephone_number": "541-881-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "PETRIDGE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADVOCATE/ADMIN ASSISTANT",
        "authorized_official_telephone_number": "541-881-0153"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports & Ortho Rehab
• Gwendolyn Beatrice Springer, RPH
• Sprinter Services
• Sprinter Shuttle Service Inc
• St Alphonsus Professional Medical Services LLC
• Stark Medical Group PC
• Stark Medical, PC
• Jody A. Stark, NP
• Deborah Starr Lake, DDS
• David Rood Starr, PH.D.

• Case Manager/Care Coordinator in Ontario, OR
• Providers in Ontario, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.