Vitaly Starr, LIC. TATTOO ARTIST
NPI 1396564787ActiveIndividual· Specialist/Technologist, Other· Portland, OR
Specialist/Technologist, Other (LIC. TATTOO ARTIST) in Portland, Oregon, licensed in OR, with an NPI issued in October 2024.
Overview
| NPI | 1396564787 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LIC. TATTOO ARTIST |
| Sole proprietor | No |
| NPI issued | Oct 3, 2024 |
| Last updated in NPPES | Oct 8, 2024 |
| Certified by provider | Oct 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | 10153107 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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