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NPI Code Detail

MEDICARE: DANIEL STEIN PAC

MEDICARE: DANIEL STEIN PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA154040OR
22084P0800XPsychiatry PhysicianPA154040OR
3363A00000XPhysician Assistant18628CA

General Provider Information

NPI Number : 1285775957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL STEIN PAC
Provider Business Mailing Address
First Line : 1100 E MAIN ST STE 203
Second Line :
City : MEDFORD
State : OR
Zip : 97504-7435
Country : US
Telephone Number : 541-414-4787
Fax Number : 541-787-6293
Provider Business Practice Location Address
First Line : 4940 HAMRICK RD
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-3072
Country : US
Telephone Number : 541-535-6239
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 03/02/2026

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Directions to “ DANIEL STEIN PAC” Practice Location

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