Sean Stack, M.D.
Sean Stack is a Vascular & Interventional Radiology Physician provider (Radiology) practicing in Salem, OR, registered in the NPPES registry with NPI 1962453217 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962453217 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Sean Stack |
| Credential | M.D. |
| Sex | Male |
| Practice address | 2925 RYAN DR SE, Salem, OR, 97301 |
| Phone | 5033991264 |
| Fax | 5033710777 |
| Enumeration date | 2006-05-12 |
| Last updated in NPPES | 2023-11-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Secondary | 20801 | OR |
| 2085R0204X | Vascular & Interventional Radiology Physician | Primary | MD20801 | OR |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288438 | Medicaid | OR | — |
Copy-ready billing details
Provider: Sean Stack, M.D. NPI: 1962453217 Taxonomy: 2085R0204X (Vascular & Interventional Radiology Physician) Address: 2925 RYAN DR SE, Salem, OR, 97301
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417908757 | Jose Novoa | Individual | Diagnostic Radiology Physician | Salem, OR |
| 1801847140 | Kathleen Scanlan | Individual | Diagnostic Radiology Physician | Salem, OR |
| 1295786549 | Michael Hanslits | Individual | Diagnostic Radiology Physician | Salem, OR |
| 1841241106 | Stephen Burrows | Individual | Diagnostic Radiology Physician | Salem, OR |
| 1245281518 | Dondeena Griffiths | Individual | Diagnostic Radiology Physician | Salem, OR |
| 1114978418 | Salem Imaging LLC | Organization | Diagnostic Radiology Physician | Salem, OR |
| 1649221813 | Salem Radiology Consultants PC | Organization | Diagnostic Radiology Physician | Salem, OR |
| 1710939186 | Richard Collins | Individual | Diagnostic Radiology Physician | Salem, OR |
Verify this record
Cross-check NPI 1962453217 against the authoritative CMS record: view Sean Stack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-22.