Provider Demographics
NPI:1548371479
Name:SLATORE, CHRISTOPHER G (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:G
Last Name:SLATORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Mailing Address - Street 2:R&D 66 BLDG 6 RM 316
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-2964
Mailing Address - Country:US
Mailing Address - Phone:502-220-8262
Mailing Address - Fax:503-273-5367
Practice Address - Street 1:3710 SW US VETERANS HOSPITAL RD
Practice Address - Street 2:R&D 66 BLDG 6 RM 316
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2964
Practice Address - Country:US
Practice Address - Phone:502-220-8262
Practice Address - Fax:503-273-5367
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00044046207RP1001X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8409419Medicaid
WA2949SLOtherBLUE SHIELD NUMBER VM
WA8409419Medicaid
WAG8874025Medicare PIN
WAI18927Medicare UPIN