Individual
CHRISTINE ANN STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2859 STATE STREET, SUITE 101, MEDFORD, OR 97504
(541) 282-6505
(541) 282-6520
Mailing address
3524 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 646-3505
(541) 646-3553
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200450119NP
OR
Other
Enumeration date
07/26/2006
Last updated
01/08/2018
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