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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEAN STACK, M.D.

Active

SEAN STACK, M.D. is a Therapeutic Radiology healthcare provider located in SALEM, Oregon. NPI 1962453217 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · SALEM, OR

Registration Details

NPI Number
1962453217
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2006 (20.233064016255 yrs)
Last Updated
Nov 22, 2023
Licenses
20801 (OR)
MD20801 (OR)

Practice Information

Address
2925 RYAN DR SE
SALEM, OR, 973019687
Browse OR providers · Browse ZIP 97301
Phone
5033991264
Fax
5033710777
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Therapeutic Radiology

Other Therapeutic Radiology Providers in SALEM, OR

Name Credential NPI
MICHAEL PASS M.D. 1326090762
NICHOLAS HANSON MD 1356568661
SCOTT HARRISON AMBRUSTER M.D. 1760686505
YAMA KHAROTI 1386961712
DR. DAVID PROSSER M.D. 1174940126
MRS. LAUREN A HODGSON PA-C 1104236371
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.