Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY M CLARK, PA-C
ActiveJEFFREY M CLARK, PA-C is a Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1063451193 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VANCOUVER, WA
Registration Details
- NPI Number
- 1063451193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2006 (20.1833584979 yrs)
- Last Updated
- Sep 26, 2012
- License
-
PA10002763 (WA)
Practice Information
- Address
-
600 NE 92ND AVEVANCOUVER, WA, 986643225Browse WA providers · Browse ZIP 98664
- Phone
- 3605142142
- Fax
- 3605146820
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| ALAN K MIRLY | PA | 1891780524 |
| JAMES THOMAS STUPFEL | PA-C | 1437130143 |
| JOHN RUSSELL PRENTICE | PA-C | 1497736110 |
| LYNN EUGENE CATON | PA-C | 1477536225 |
| LAURA E BRANDT | PA-C | 1013997899 |
| ROBERT S BROOKSHIRE | PA-C | 1295708378 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.