Active NPI
Cristian Martin Slough, M.D.
- Otolaryngology Physician
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD151166
- Practice address
- 2700 SE Stratus Ave.
Suite 402
McMinnville, OR 97128-6239 - Phone
- (503) 434-1110
- Fax
- (503) 434-1119
- NPI assigned
- Jun 9, 2007
- Last updated
- Jan 3, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD151166 | OR | Primary |
Addresses
Primary practice location
2700 SE Stratus Ave.
Suite 402
McMinnville, OR 97128-6239
Mailing address
2700 SE Stratus Ave.
McMinnville, OR 97128-6239
Phone (503) 434-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Clinics LLC | Current | Accepting new patients |
Locations
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565
2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- McMinnville, OR
- NPI 1790740520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1952504540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SE STRATUS AVE.",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286239",
"telephone_number": "503-434-1110",
"fax_number": "503-434-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 SE STRATUS AVE.",
"address_2": "SUITE 402",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971286239",
"telephone_number": "503-434-1110",
"fax_number": "503-434-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOUGH",
"first_name": "CRISTIAN",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-09",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD151166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.