JEFFREY M CLARK PA-C
NPI 1063451193
Physician Assistant in Vancouver, WA

Active since June 05, 2006
600 NE 92ND AVE, VANCOUVER, WA 98664(360) 514-2142(360) 514-6820 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey M Clark Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY M CLARK PA-C (NPI 1063451193) is an individual physician assistant in Vancouver, Washington, licensed in Washington (PA10002763) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063451193
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY M CLARKCredential: PA-C
Location Address600 NE 92ND AVEVancouver, WA 98664-3225
Mailing AddressFile 742997Los Angeles, CA 90074-2997 · (360) 514-2142 · Fax (360) 514-6820
Fax(360) 514-6820
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateSeptember 26, 2012
NPI 1063451193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA10002763
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

600 NE 92ND AVE, Vancouver, WA 98664

Other Identifiers 3

Medicare PING8855550WA
Medicaid8357758WA
Medicare UPINS60890WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
600 NE 92ND AVE
VANCOUVER, WA 98664
Emergency Medicine
600 NE 92ND AVE
VANCOUVER, WA 98664
Dietitian, Registered (Nutrition, Pediatric)
600 NE 92ND AVE
VANCOUVER, WA 98664
Emergency Medicine
600 NE 92ND AVE
VANCOUVER, WA 98664
Emergency Medicine
600 NE 92ND AVE
VANCOUVER, WA 98664
Physician Assistant
600 NE 92ND AVE
VANCOUVER, WA 98664
Emergency Medicine
600 NE 92ND AVE
VANCOUVER, WA 98664
Emergency Medicine
600 NE 92ND AVE
VANCOUVER, WA 98664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1063451193. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 600 NE 92nd Ave, Vancouver, WA 98664. The listed phone number is (360) 514-2142.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on September 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.