Mammele, Stefan Michael

Mammele, Stefan Michael is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Mammele, Stefan Michael can be contacted via phone (503) 494-8311.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239
Phone: (503) 494-8311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD208040 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MDR7366 Hawaii
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD208040 Oregon

Profile Details

NPI number 1760902126
LBN Legal business name Mammele, Stefan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Aug 1st, 2022 - about 2 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.

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