Individual
VICTORIA SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
368 NE NORTON LN, MCMINNVILLE, OR 97128-8481
(503) 474-5672
(503) 472-3815
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 235-8655
(503) 239-6233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
94-10-62
OR
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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