Provider Demographics
NPI:1336625078
Name:SLAUGHTER, VIRGINIA LEHLEITNER (FNP-C)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:LEHLEITNER
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1517
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-0410
Mailing Address - Country:US
Mailing Address - Phone:877-708-1119
Mailing Address - Fax:541-278-8349
Practice Address - Street 1:1835 PEARL STREET
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4119
Practice Address - Country:US
Practice Address - Phone:541-762-6050
Practice Address - Fax:541-762-6021
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA151156363LF0000X
OR10020494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1255339750Medicaid