Provider Demographics
NPI:1851158786
Name:AMBER SLAUGHTER
Entity Type:Organization
Organization Name:AMBER SLAUGHTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:N
Authorized Official - Last Name:SLAUGHTER LAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-544-5067
Mailing Address - Street 1:20255 WILLAMETTE DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-2027
Mailing Address - Country:US
Mailing Address - Phone:504-544-5067
Mailing Address - Fax:503-632-5733
Practice Address - Street 1:20255 WILLAMETTE DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-2027
Practice Address - Country:US
Practice Address - Phone:504-544-5067
Practice Address - Fax:503-632-5733
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMBER SLAUGHTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty