Individual provider · Type 1 NPI

Michael Reagan Slaughter, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1508979550 Active

Practice location

3710 SW US Veterans Hospital Rd, Operative Care Division: Ortho
Portland, OR 97239-2964

Call (803) 220-8262 Map

Mailing address

6380 NE Cherry Dr, Unit 619
Hillsboro, OR 97124-7457

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9102494 (FL)
Physician Assistant 363A00000X0110002969 (VA)
Surgical Physician Assistant Primary 363AS0400X175136 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1508979550

Michael Reagan Slaughter, PA-C's National Provider Identifier is 1508979550, issued on Aug 16, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on May 28, 2016.