Individual
SEAN M STADTLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 PROVIDENCE DR, SUITE 210, NEWBERG, OR 97132-7521
(503) 537-5900
(503) 537-5959
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19575
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076922
—
OR
01
—
P00200689
RR MEDICARE
OR
Enumeration date
07/09/2006
Last updated
10/05/2020
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