Active NPI
Nancy R Slifman, M.D.
- Dermatology Physician
- Portland, OR
National Provider Identifier
1225228364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 39371
- Practice address
- 3924 SW 57TH Ave
Portland, OR 97221-2030 - Phone
- (503) 244-4280
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 39371 | MA | Primary |
Addresses
Primary practice location
3924 SW 57TH Ave
Portland, OR 97221-2030
Mailing address
3924 SW 57TH Ave
Portland, OR 97221-2030
Phone (503) 244-4280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39371 | MA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1225228364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3924 SW 57TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212030",
"telephone_number": "503-244-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3924 SW 57TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212030",
"telephone_number": "503-244-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLIFMAN",
"first_name": "NANCY",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MA",
"license": "39371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.