Individual
MR. MICHAEL REAGAN SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, OPERATIVE CARE DIVISION: ORTHO, PORTLAND, OR 97239-2964
(803) 220-8262
Mailing address
6380 NE CHERRY DR, UNIT 619, HILLSBORO, OR 97124-7457
(803) 543-9435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002969
VA
363A00000X
Physician Assistant
PA9102494
FL
363AS0400X
Surgical Physician Assistant
Primary
175136
OR
Other
Enumeration date
08/16/2006
Last updated
05/28/2016
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