Terrence T Clark (NPI# 1629135934, PAC ID# 7517910268) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1629135934 |
| PAC ID by PECOS | 7517910268 |
| Professional Enrollment ID | I20050223000203 |
| Full Name | Terrence T Clark |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Address |
19379 7th Ave Ne Poulsbo WA 98370-7504 |
| Phone Number | 3603941000 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9032022579 |
| Number of Group Practice Members | 1513 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19379 7th Ave Ne, Poulsbo, WA 98370-7504 | 3603941000 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Physicians | 1756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yena Kim-hall | Optometry | Kaiser Foundation Health Plan of Washington | 5821 S Sprague Ct, Tacoma, WA 98409-6903 |
| Melquiades Lara | Clinical Social Worker | Kaiser Foundation Health Plan of Washington | 4301 S Pine St, Suite 301, Tacoma, WA 98409-7206 |
| Patrick Kelly Smith | Physician Assistant | Kaiser Foundation Health Plan of Washington | 2518 196th St Sw, Lynnwood, WA 98036-6970 |
| Jaime Marie Michaelson | Obstetrics/gynecology | Kaiser Foundation Health Plan of Washington | 310 15th Ave E, Seattle, WA 98112-5103 |
| Kumara Raj Sundar | Family Medicine | Kaiser Foundation Health Plan of Washington | 200 15th Ave E, Seattle, WA 98112-5260 |
| Hong-nhung Thi Do | Nurse Practitioner | Kaiser Foundation Health Plan of Washington | 1420 5th Ave, Suite 375, Seattle, WA 98101-4032 |
| Randy Martin Steinhaus | Clinical Social Worker | Kaiser Foundation Health Plan of Washington | 5316 Rainier Ave S, Seattle, WA 98118-2354 |
| Atousa Sobhi | General Practice | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Christopher J Neal | Physical Therapy | Kaiser Foundation Health Plan of Washington | 1400 Pottery Ave, Port Orchard, WA 98366-3711 |
| Aimee N Edmunds | Physician Assistant | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Street Address |
19379 7TH AVE NE |
| City | POULSBO |
| State | WA |
| Zip | 98370-7504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee N Edmunds | Physician Assistant | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Amihan A Ferrer | Family Medicine | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Michael W Balfe | Family Medicine | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Kelly Suzanne Larson | Family Medicine | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Andrea E Dunn | Physician Assistant | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Bjorn E Larsen | Physician Assistant | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Caryn M Gabryshak | Physician Assistant | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Gavin Charles Cochran | Physician Assistant | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Elizabeth A Williams | Nurse Practitioner | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Eduardo R Munoz | Physician Assistant | Kaiser Foundation Health Plan of Washington | 19379 7th Ave Ne, Poulsbo, WA 98370-7504 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Bissell Low | Psychologist, Clinical | Seatac Senior Psychology LLC | 19160 Front St Ne, Poulsbo, WA 98370 |
| Elaine Mary Giniewicz | Psychologist, Clinical | Seatac Senior Psychology LLC | 19160 Front St Ne, Poulsbo, WA 98370 |
| James T Ryan | Chiropractic | 19425 7th Ave Ne, Suite 103, Poulsbo, WA 98370-5100 | |
| William C Krutch | Clinical Social Worker | 19980 10th Ave Ne, Suite 204d, Poulsbo, WA 98370-6321 | |
| Viola G Medina | Nurse Practitioner | Chymiymattymd LLC | 19980 10th Ave Ne, Suite 202, Poulsbo, WA 98370-6322 |
| Marie E Matty | Family Medicine | Chymiymattymd LLC | 19980 10th Ave Ne, Suite 202, Poulsbo, WA 98370-6322 |
| Andrea L Chymiy | Family Medicine | Chymiymattymd LLC | 19980 10th Ave Ne, Suite 202, Poulsbo, WA 98370-6322 |
| Debra S Morris | Nurse Practitioner | Franciscan Medical Group | 19500 10th Ave Ne, Suite 100, Poulsbo, WA 98370-6331 |
| Dennis M Willerford | Medical Oncology | Franciscan Medical Group | 19500 10th Ave Ne, Suite 100, Poulsbo, WA 98370-6331 |
| Prakash Vishnu | Hematology/oncology | Franciscan Medical Group | 19500 10th Ave Ne, Suite 100, Poulsbo, WA 98370-6331 |
| Find all physicians in zip 98370 | |||
| City | POULSBO |
| Zip Code | 98370 |
| Specialty | OPTOMETRY |
| City + Specialty | POULSBO + OPTOMETRY |
Please comment or provide details below to improve the information on Terrence T Clark.
| 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.