Jeffrey P Clark (NPI# 1366417487, PAC ID# 3375647985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1366417487 |
| PAC ID by PECOS | 3375647985 |
| Professional Enrollment ID | I20070409000186 |
| Full Name | Jeffrey P Clark |
| Address |
9633 Market Pl Unit 103 Lake Stevens WA 98258-7944 |
| Gender | M |
| Credential | DC |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1991 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9633 Market Pl, Unit 103, Lake Stevens, WA 98258-7944 |
| Street Address |
9633 MARKET PL UNIT 103 |
| City | LAKE STEVENS |
| State | WA |
| Zip | 98258-7944 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Robert Morin | Chiropractic | Naturally Chiropractic Family Wellness Center Inc | 9327 4th St Ne, Suite 6, Lake Stevens, WA 98258-1630 |
| Nicole A Morin | Chiropractic | Naturally Chiropractic Family Wellness Center Inc | 9327 4th St Ne, Suite 6, Lake Stevens, WA 98258-1630 |
| Anthony S Johns | Physical Therapy | Nspt, Inc. | 1819 S Lake Stevens Rd E, Lake Stevens, WA 98258-2060 |
| Kayla Marie Wartinger | Physical Therapy | Nspt, Inc. | 1819 S Lake Stevens Rd E, Lake Stevens, WA 98258-2060 |
| Alisa Faith Stang | Physical Therapy | Nspt, Inc. | 1819 S Lake Stevens Rd E, Lake Stevens, WA 98258-2060 |
| Stephanie Hodges | Family Medicine | The Everett Clinic Pllc | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 |
| Shannon Porter | Nurse Practitioner | The Everett Clinic Pllc | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 |
| Sarinda Kongkachen | Family Medicine | The Everett Clinic Pllc | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 |
| Hyun J Lee | Family Practice | The Everett Clinic Pllc | 8910 Vernon Rd, Lake Stevens, WA 98258-2400 |
| Kristofer E Kazen | Physical Therapy | Reaction Physical Therapy Pllc | 925 Frontier Cir E, Suite 100, Lake Stevens, WA 98258-2423 |
| Find all physicians in zip 98258 | |||
| City | LAKE STEVENS |
| Zip Code | 98258 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LAKE STEVENS + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.