| Doctor Name: | CHRISTINE ANN STANEK |
| NPI Number: | 1003839424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 200450119NP |
| Business Practice Address: | 2859 State Street Suite 101 Medford, OR - 97504 |
| Business Phone Number: | 5412826505 |
| Business Fax Number: | 5412826520 |
| Mailing Address: | 2859 State St, MEDFORD |
| State: | OR |
| Postal Code: | 975048400 |
| Phone Number: | 5412826505 |
| Fax Number: | 5412826520 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 200450119NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |