Individual provider · Type 1 NPI

Timithy Slagle

School Registered Nurse · Portland, OR

NPI number 1679479828 Active

Practice location

11611 NE Ainsworth Cir
Portland, OR 97220-9017

Call (503) 257-1732 Map

Mailing address

18409 NW Heritage Pkwy Apt 14
Beaverton, OR 97006-3538

Specialties and licenses

Taxonomy	Code	License
School Registered Nurse Primary	163WS0200X	10061107 (OR)

School Registered Nurse: Definition to come...

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About NPI 1679479828

Timithy Slagle's National Provider Identifier is 1679479828, issued on Oct 15, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2026.