Individual
DANIEL FORREST SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7711
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201606815CRNA-P
OR
367500000X
Certified Registered Nurse Anesthetist
6134-33
WA
367500000X
Certified Registered Nurse Anesthetist
64001
ID
367500000X
Certified Registered Nurse Anesthetist
712720
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60651342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2093758
—
WA
Enumeration date
06/20/2014
Last updated
07/14/2022
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