Jennifer M Slack, MD | |
501 N Graham St Ste 100, Portland, OR 97227-1650 | |
(503) 249-5780 | |
(503) 249-5788 |
Full Name | Jennifer M Slack |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 501 N Graham St Ste 100, Portland, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043401813 | NPI | - | NPPES |
000000 | Other | OR | IN PROCESS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD27695 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Emanuel Hospital And Health Center | 4587573639 | 182 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Legacy Emanuel Hospital & Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
Entity Name | Cascade Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982672184 PECOS PAC ID: 0446148076 Enrollment ID: O20040305001042 |
Mailing Address | Practice Location Address |
---|---|
Jennifer M Slack, MD 1411 Sw Morrison St Ste 200, Portland, OR 97205-1945 Ph: (503) 242-9850 | Jennifer M Slack, MD 501 N Graham St Ste 100, Portland, OR 97227-1650 Ph: (503) 249-5780 |
Salona Shrestha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392 | |
Dr. Emmanuel Trungtoan Tavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901 | |
Ginevra Lois Liptan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808 | |
Donald Richard Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949 | |
Dr. Victor Nguyen Pham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 | |
Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697 | |
Reem Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562 |