Individual
MR. ISAAC GRANT SLAUGHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
707 7TH ST, OREGON CITY, OR 97045-2346
(503) 545-8303
Mailing address
15915 S BOULDER DR, MULINO, OR 97042-9755
(503) 545-8303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13303
OR
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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