Individual
DR. CHRISTOPHER JONATHAN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7525
Mailing address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML61689827
WA
Other
Enumeration date
05/09/2025
Last updated
07/23/2025
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