Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | DO27992 | OR |
NPI | 1225156185 |
---|---|
Provider Name | Dr. Christina Hansel Cellura |
First Address | Medford, OR 97504-9435 |
Second Address | Medford, OR 97504-5589 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 11/10/2018 |