SEAN M STADTLANDER (MD) – Internal Medicine Physician, NPI 1104859511

SEAN M STADTLANDER (MD) is a healthcare provider. based in Portland, Oregon. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. MD19575 (OR). The NPI Number for SEAN M STADTLANDER (MD) is 1104859511

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SEAN M STADTLANDER (MD)
NPI
1104859511
Phone
(503) 215-6494
Address
PO BOX 3158
Enumeration Date
9 July 2006
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
5032161661
Graduation Year
1988 (38 years ago)
PAC ID
6800853789
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20041213000288

Contacts

Secure Messaging
sstadtlander117623@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for SEAN M STADTLANDER (MD)

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Fax: (503) 215-6644

    Type: Mailing

  • 1003, Providence Drive, Springbrook, Newberg, Yamhill County, Oregon, 97132, United States

    SUITE 210

    NEWBERG, OR 971327521

    Phone: (503) 537-5900

    Fax: (503) 537-5959

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

Does SEAN M STADTLANDER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SEAN M STADTLANDER (MD) uses 1104859511.
Is SEAN M STADTLANDER (MD) still practicing?
SEAN M STADTLANDER (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes SEAN M STADTLANDER (MD)?
For research purposes, treat SEAN M STADTLANDER (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SEAN M STADTLANDER (MD) on a map?
Expect Portland, Oregon as a primary anchor for SEAN M STADTLANDER (MD) unless the record lists multiple sites.
Is the information about SEAN M STADTLANDER (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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