Dr Stephen Edward Slattery, DO | |
17055 Ruben Ln, Sandy, OR 97055-9276 | |
(503) 668-8002 | |
(503) 668-5246 |
Full Name | Dr Stephen Edward Slattery |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 17055 Ruben Ln, Sandy, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700110921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A11657 (California) | Secondary |
207Q00000X | Family Medicine | DO126175 (Oregon) | Primary |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Edward Slattery, DO 10000 Se Main St, Suite 116, Portland, OR 97216-2448 Ph: (503) 251-6292 | Dr Stephen Edward Slattery, DO 17055 Ruben Ln, Sandy, OR 97055-9276 Ph: (503) 668-8002 |
Dr. Michael Pinn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17055 Ruben Ln, Sandy, OR 97055 Phone: 503-668-8002 Fax: 503-668-5246 | |
Dr. Matthew Insuok Sah, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 16605 Bluff Rd, Sandy, OR 97055 Phone: 503-668-6036 | |
Stephen Frank Nicholson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36860 Industrial Way, Sandy, OR 97055 Phone: 503-826-0206 Fax: 503-826-0216 | |
Deryk Mark Zinser, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36860 Industrial Way, Sandy, OR 97055 Phone: 503-826-0206 Fax: 503-826-0216 | |
Janet C West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 37400 Bell St, Sandy, OR 97055 Phone: 503-668-3483 | |
Eric Eugene Swiridoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36860 Industrial Way, Sandy, OR 97055 Phone: 503-826-0206 Fax: 503-826-0216 | |
Mr. William Anthony Gromko, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17055 Ruben Ln, Sandy, OR 97055 Phone: 503-668-8002 Fax: 503-668-5246 |