Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer M Slack, MD

Individual provider Internal Medicine Physician · NPI 1043401813

Jennifer M Slack, MD is an Internal Medicine in Portland, Oregon. Graduated from University of Arizona College of Medicine in 2004, 22 years ago. Practices with Portland Adventist Medical Center, a 272-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
22
Trained at
University of Arizona College of Medicine
Licensed in
OR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 N Graham St Ste 100
Portland, OR 97227-1650
Phone: (503) 249-5780
Fax: (503) 249-5788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Ne 122nd Ave, Portland, OR 97230-2011 — (503) 408-7010

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD27695 (OR)

Record details

NPI number1043401813
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2007
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Portland Adventist Medical Center — 272 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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