NPI 1063702835

Brian Jacob Stater, MD

Practitioner Otolaryngology Physician Portland, OR

Practice location

Address: 1815 SW Marlow Ave STE 100, Portland, OR 97225-5185
Phone: (503) 935-8100
Fax: (503) 935-8110
Mailing address: 541 NE 20th Ave STE 225, Portland, OR 97232-2895

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence MD182454 (OR)

Other Otolaryngology providers in Oregon →

Registry record

NPI: 1063702835
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2011
Record last updated: 13 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.