Individual
ELIZA ROSE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD223388
OR
207Q00000X
Family Medicine Physician
PG213178
OR
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/30/2019
Last updated
12/12/2025
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