Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stefan Michael Mammele, MD

Individual provider Pediatrics Physician · NPI 1760902126

Stefan Michael Mammele, MD is a Pediatrics Physician in Portland, Oregon. Works from 2 locations. Licensed in Hawaii and Oregon.

Licensed in
HI, OR
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone: (503) 494-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1319 Punahou St # 741, Honolulu, HI 96826-1001 — (808) 369-1200

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence MD208040 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence MD208040 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence MDR7366 (HI)

Record details

NPI number1760902126
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

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