Organization
SPINAL DIAGNOSTICS PC
Active
Other names
Roy A. Slack, MD, PC, Spinal Diagnostics,PC
Organization subpart
No
Provider details
NPI number
Authorized official
JASON G. ANDERSON D.O. (OWNER/SECRETARY)
(503) 885-1515
Entity
Organization
Contact information
Practice address
7790 SW MOHAWK ST, TUALATIN, OR 97062-9191
(503) 885-1515
(503) 885-1520
Mailing address
7790 SW MOHAWK ST, TUALATIN, OR 97062-9191
(503) 885-1515
(503) 885-1520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10922
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP9470
RAILROAD MEDICARE GROUP PIN
OR
01
—
DP9470
RR MEDICARE
—
Enumeration date
06/24/2006
Last updated
02/23/2026
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