Stadtlander, Sean M
Stadtlander, Sean M is an individual health care provider with primary practice located at 1003 Providence Dr Suite 210, Newberg OR 97132-7521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stadtlander, Sean M can be contacted via phone (503) 537-5900.Contact Information
Primary practice address
1003 Providence Dr Suite 210
Newberg OR 97132-7521
Phone: (503) 537-5900
Fax: (503) 537-5959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD19575 | Oregon |
Profile Details
| NPI number | 1104859511 |
|---|---|
| LBN Legal business name | Stadtlander, Sean M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Oct 5th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104859511 | NPPES |
| Oregon | Other | P00200689 | RR MEDICARE |
| Oregon | MEDICAID | 076922 | RR MEDICARE |
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