Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Forrest Slack, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1780098442

Daniel Forrest Slack, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Port Angeles, Washington. Qualified in 2014, 12 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, New York, Oregon and Washington.

Years since qualifying
12
Licensed in
ID, NY, OR, WA
In the registry since
2014
Specialties on file
5
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

939 Caroline St
Port Angeles, WA 98362-3909
Phone: (360) 417-7711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 E Wheeler Rd, Moses Lake, WA 98837-1899 — (509) 765-5606

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60651342 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 6134-33 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 201606815CRNA-P (OR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 64001 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 712720 (NY)

Record details

NPI number1780098442
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 20, 2014
Last updated in NPPESJuly 14, 2022
Certification dateSeptember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medstream Anesthesia Pllc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount