Individual
CONNOR JACK CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(785) 764-9315
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(785) 764-9315
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
04/26/2026
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