Active NPI
Isaac Grant Slaughter, LMT
- Massage Therapist
- Oregon City, OR
National Provider Identifier
1629125224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13303
- Practice address
- 707 7TH St
Oregon City, OR 97045-2346 - Phone
- (503) 545-8303
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13303 | OR | Primary |
Addresses
Primary practice location
707 7TH St
Oregon City, OR 97045-2346
Mailing address
15915 S Boulder Dr
Mulino, OR 97042-9755
Phone (503) 545-8303
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13303 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Healing Northwest | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Oregon City, OR
- NPI 1770307142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629125224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15915 S BOULDER DR",
"city": "MULINO",
"state": "OR",
"postal_code": "970429755",
"telephone_number": "503-545-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 7TH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452346",
"telephone_number": "503-545-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "ISAAC",
"middle_name": "GRANT",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.