MEDICARE: AMBER SLAUGHTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1851158786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBER SLAUGHTER

Provider Business Mailing Address
First Line	:	20255 WILLAMETTE DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-2027
Country	:	US
Telephone Number	:	504-544-5067
Fax Number	:	503-632-5733

Provider Business Practice Location Address
First Line	:	20255 WILLAMETTE DR
Second Line	:
City	:	WEST LINN
State	:	OR
Zip	:	97068-2027
Country	:	US
Telephone Number	:	504-544-5067
Fax Number	:	503-632-5733

Authorized Official
Title or Position	:	LICENSED ACUPUNCTURIST
Name	:	AMBER N SLAUGHTER LAC
Credential	:
Telephone Number	:	503-544-5067

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	03/06/2024

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