Individual
JERRY M SLEPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, SUITE 931, PORTLAND, OR 97225-6625
(503) 215-6494
(503) 215-6644
Mailing address
PO BOX 3178, PORTLAND, OR 97208-3178
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD09079
OR
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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