Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Crystal Lee Stordahl, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1760505192

MS. Crystal Lee Stordahl, PHYSICIANASSISTANT is a Medical Physician Assistant in Fairbanks, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007

Practice location Address checks out

1408 19th Ave
Fairbanks, AK 99701-5903
Phone: (907) 452-8251
Fax: (907) 459-3978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 518 (AK)

Record details

NPI number1760505192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 8, 2007

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