Individual
SUSAN ELIZABETH SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN73C, PORTLAND, OR 97239-3011
(503) 494-1551
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHN73C, PORTLAND, OR 97239-3011
(503) 494-1551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
097006018N1
OR
363LF0000X
Family Nurse Practitioner
097006018RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210816
—
OR
Enumeration date
07/31/2006
Last updated
07/13/2007
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