Provider Demographics
NPI:1003043704
Name:SLIESORAITIS, SARUNAS (DO, PHARM D)
Entity type:Individual
Prefix:MR
First Name:SARUNAS
Middle Name:
Last Name:SLIESORAITIS
Suffix:
Gender:M
Credentials:DO, PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:ASTONIA
Mailing Address - State:OR
Mailing Address - Zip Code:97103
Mailing Address - Country:US
Mailing Address - Phone:503-338-4085
Mailing Address - Fax:
Practice Address - Street 1:1905 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:ASTONIA
Practice Address - State:OR
Practice Address - Zip Code:97103
Practice Address - Country:US
Practice Address - Phone:503-338-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO 3134390200000X
UT9717170-1204207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program