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Sean Stack, MD
Vascular & Interventional Radiology Physician in Salem, Oregon
NPI 1962453217

Sean Stack is a Vascular & Interventional Radiology Physician based in Salem, OR and is specialized in Vascular & Interventional Radiology. Sean Stack practices in Salem, OR and has the professional credentials of MD. The NPI Number for Sean Stack is 1962453217 and holds a License No. 20801 (Oregon).

The current practice location address for Sean Stack is 2925 Ryan Dr Se, Salem, OR and can be reached out via phone at 503-399-1264 and via fax at 503-371-0777.

Location: 2925 Ryan Dr Se, Salem, OR, 97301-9687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962453217
Provider Name
Sean Stack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2925 Ryan Dr Se, Salem, OR, 97301-9687
Phone Number
503-399-1264
Fax Number
503-371-0777
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
288438 05 OR
institution
Provider Business Practice Location Address Details
Address
2925 Ryan Dr Se
City
Salem
State
Oregon
Zip
97301-9687
Phone Number
503-399-1264
Fax Number
503-371-0777
person
Provider Business Mailing Address Details
Address
2925 Ryan Dr Se
City
Salem
State
Oregon
Zip
97301-9687
Phone Number
503-399-1264
Fax Number
503-371-0777
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD20801 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
20801 (Oregon)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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