Roy A. Slack, Md, Pc

LBN: Spinal Diagnostics Pc
Roy A. Slack, Md, Pc is an health care organization with primary practice located at 6464 Sw Borland Rd Suite A-2, Tualatin OR 97062. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Spinal Diagnostics Pc can be contacted via phone (503) 885-1515, or through Anderson, Jason G. via phone (503) 885-1515.

Contact Information

Primary practice address
6464 Sw Borland Rd Suite A-2 Tualatin OR 97062
Phone: (503) 885-1515
Fax: (503) 885-1520
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Jason G. Doctor of Osteopathy (DO)
Phone: (503) 885-1515

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10922 Oregon

Profile Details

NPI number 1194751735
LBN Legal business name Spinal Diagnostics Pc
DBA Doing business as Roy A. Slack, Md, Pc
Authorized official Anderson, Jason G. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Aug 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194751735 NPPES
Oregon Other DP9470 RAILROAD MEDICARE GROUP PIN
Oregon Other DP9470 RAILROAD MEDICARE GROUP PIN

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