Healthcare Provider Details

I. General information

NPI: 1770112815
Provider Name (Legal Business Name): DONALD SCOTT SLUSARENKO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 NW SAMARITAN DR STE 227
CORVALLIS OR
97330-5472
US

IV. Provider business mailing address

3600 NW SAMARITAN DR STE 227
CORVALLIS OR
97330-5472
US

V. Phone/Fax

Practice location:
  • Phone: 541-768-1261
  • Fax: 541-768-9420
Mailing address:
  • Phone: 541-768-1261
  • Fax: 541-768-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberDO229635
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberDO229635
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: