Individual
MR. DANE JAMES SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4506
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10054799
OR
163W00000X
Registered Nurse
Primary
RN744513
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
10054799
OR
Other
Enumeration date
01/09/2023
Last updated
04/29/2026
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