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SPINAL DIAGNOSTICS PC
NPI 1194751735
Specialist in Tualatin, OR

Active since June 24, 2006
7790 SW MOHAWK ST, TUALATIN, OR 97062(503) 885-1515(503) 885-1520 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spinal Diagnostics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINAL DIAGNOSTICS PC (NPI 1194751735), doing business as Spinal Diagnostics,pc, is a healthcare organization registered as a specialist in Tualatin, Oregon and active in the NPI registry since June 2006. The organization lists Jason G. Anderson, Owner/secretary, as its authorized official.

NPPES Registry Identity

NPI1194751735
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPINAL DIAGNOSTICS PC
Location Address7790 SW MOHAWK STTualatin, OR 97062-9191
Mailing Address7790 Sw Mohawk StTualatin, OR 97062-9191 · (503) 885-1515 · Fax (503) 885-1520
Phone(503) 885-1515
Fax(503) 885-1520
Organization SubpartNo
Authorized OfficialJason G. AndersonOwner/secretary · (503) 885-1515
Enumeration DateJune 24, 2006
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1194751735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 10922
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7790 SW MOHAWK ST, Tualatin, OR 97062
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Other Names 2

Doing Business AsSpinal Diagnostics,pc
Former Legal Business NameRoy A. Slack, Md, Pc

Other Identifiers 2

OtherDP9470OR · Railroad Medicare Group Pin
OtherDP9470Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spinal Diagnostics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Spinal Diagnostics PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jason Anderson, D.O.
Interventional Pain Management
NPI 1134235930
7790 SW MOHAWK ST
Tualatin, OR 97062
(503) 885-1515
✔ PECOS✔ Accepts MedicareSame address
Ayumi Mizuno, AGNP-C
Nurse Practitioner
NPI 1215730031
7790 SW MOHAWK ST
Tualatin, OR 97062
(503) 885-1515
✔ PECOS✔ Accepts MedicareSame address
Robert Heros, M.D.
Physical Medicine and Rehabilitation
NPI 1588655708
6464 SW BORLAND RD SUITE C-1
Tualatin, OR 97062
(503) 885-1515
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spinal Diagnostics PC's NPI number?

The NPI number for Spinal Diagnostics PC is 1194751735. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Spinal Diagnostics,PC. The provider was formerly known as Roy A. Slack, MD, PC.

Where is Spinal Diagnostics PC located?

Spinal Diagnostics PC is located at 7790 SW Mohawk St, Tualatin, OR 97062. The listed phone number is (503) 885-1515.

What is Spinal Diagnostics PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Spinal Diagnostics PC enrolled in Medicare?

Yes. Spinal Diagnostics PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spinal Diagnostics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Spinal Diagnostics PC, in Interventional Pain Management, Nurse Practitioner and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spinal Diagnostics PC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Spinal Diagnostics PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spinal Diagnostics PC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.