Basic Information
| Provider Information | |||||||||
| NPI: | 1225156185 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CELLURA | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | HANSEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3951 FIELDSTONE DR | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975049435 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5414991577 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1698 E MCANDREWS RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975045589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417327950 | ||||||||
| FaxNumber: | 5417327901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2007 | ||||||||
| LastUpdateDate: | 10/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0505X | DO27992 | OR | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
No ID Information.