NPIMap

Organization Active NPI

Spinal Diagnostics PC

  • Specialist
  • Tualatin, OR
National Provider Identifier
1194751735
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10922 Issued in OR
Legal business name
SPINAL DIAGNOSTICS PC
Doing business as
Spinal Diagnostics,PC
Practice address
7790 SW Mohawk St
Tualatin, OR 97062-9191
Phone
(503) 885-1515
Fax
(503) 885-1520
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason G. Anderson, D.O.NPI 1134235930
Title
Owner/Secretary
Phone
(503) 885-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10922 OR Primary

Addresses

Primary practice location

7790 SW Mohawk St
Tualatin, OR 97062-9191

Mailing address

7790 SW Mohawk St
Tualatin, OR 97062-9191
Phone (503) 885-1515

Other identifiers 2

IdentifierTypeStateIssuer
DP9470OtherORRAILROAD MEDICARE GROUP PIN
DP9470OtherRR MEDICARE

Other names 2

  • Spinal Diagnostics,PC Doing business as
  • Roy A. Slack, MD, PC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moreinfo@spinaldx.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414001802 OR Part B Supplier - Clinic/Group Practice 3870588494 Receives reassigned benefits from 6 practitioners
Practice locations: Tualatin, OR

National Provider Directory

National Provider Directory

Locations

7790 SW Mohawk St
Tualatin, OR 97062
Phone (503) 885-1515

7600 SW Mohawk St
Tualatin, OR 97062

7600 SW Mohawk St
Bldg J
Tualatin, OR 97062

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1194751735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7790 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629191",
            "telephone_number": "503-885-1515",
            "fax_number": "503-885-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7790 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629191",
            "telephone_number": "503-885-1515",
            "fax_number": "503-885-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "503-885-1515",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "10922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PIN",
            "identifier": "DP9470",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DP9470",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moreinfo@spinaldx.com",
            "affiliation": "N",
            "endpointDescription": "direct email to clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "7790 SW Mohawk St",
            "city": "Tualatin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970629191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spinal Diagnostics,PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roy A. Slack, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Roy A. Slack, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.