Provider Demographics
NPI:1538918545
Name:SLAUGHTER, JENNA LEIGH (PCD(DONA))
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:LEIGH
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10305 NE OREGON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-4021
Mailing Address - Country:US
Mailing Address - Phone:971-202-8284
Mailing Address - Fax:
Practice Address - Street 1:10305 NE OREGON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-4021
Practice Address - Country:US
Practice Address - Phone:971-202-8284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14863374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula