Provider Demographics
NPI:1487887162
Name:STANO, DEBORAH JOSEPHINE (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JOSEPHINE
Last Name:STANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58147 COLUMBIA RIVER HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-6226
Mailing Address - Country:US
Mailing Address - Phone:503-438-4733
Mailing Address - Fax:503-410-5351
Practice Address - Street 1:58147 COLUMBIA RIVER HWY
Practice Address - Street 2:SUITE B
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-6226
Practice Address - Country:US
Practice Address - Phone:503-438-4733
Practice Address - Fax:503-410-5351
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR5006322934Medicaid