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JASON CHRISTOPHER CLARK M.D.
NPI 1104951086
General Practice in Tacoma, WA

Active since February 22, 2007
9040 REID ST, MADIGAN ARMY MEDICAL CENTER, ATTN MCHJ-EDME, TACOMA, WA 98431(253) 968-0354(253) 968-5926 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Christopher Clark M.d. NPPES

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

JASON CHRISTOPHER CLARK M.D. (NPI 1104951086) is an individual general practice provider in Tacoma, Washington, licensed in Nebraska (24024) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1104951086
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJASON CHRISTOPHER CLARKCredential: M.D.
Location Address9040 REID ST, MADIGAN ARMY MEDICAL CENTER, ATTN MCHJ-EDMETacoma, WA 98431-1100
Mailing Address9040 Reid St, Madigan Army Medical Center, Attn Mchj-edmeTacoma, WA 98431-1100 · (253) 968-0354 · Fax (253) 968-5926
Phone(253) 968-0354
Fax(253) 968-5926
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104951086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NE · 24024
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9040 REID ST, Tacoma, WA 98431
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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.

MRS. KATHRYN MARIE FRAZIER PA-C
Physician Assistant
9040 REID ST, ATTN: MCHJ-CLQ-C
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 477-0803
JON CARTER
Military Health Care Provider
9040 REID ST
TACOMA, WA 98431
Pierce County (253) 968-2252
ROGER JAY STEGMAN MD
Internal Medicine
9040 REID ST, ATTN MCHJ QCR MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-2252
RANDI MARIE BERG ARNP
Nurse Practitioner (Pediatrics)
9040 REID ST
TACOMA, WA 98431
Pierce County (253) 968-2315
DR. ELIZABETH KIRSTEN PARINS
Psychologist (Clinical)
9040 REID ST, MAMC ATTN: MCHJ-QCR
TACOMA, WA 98431
Pierce County (253) 968-2252
COLIN DANIELS MD
Psychiatry & Neurology (Psychiatry)
9040 REID ST
TACOMA, WA 98431
Pierce County (253) 968-3071
MS. CINDY TIPPING NEARY CNM
Nurse Practitioner (Obstetrics & Gynecology)
9040 REID ST, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-4284
MRS. STACIE KETCHAM LPN
Licensed Practical Nurse
9040 REID ST, ATTN:MCHJ-CLQ-C
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2252

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 Jason Clark's NPI number?

The NPI number for Jason Clark is 1104951086. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Jason Clark located?

Jason Clark practices at 9040 Reid St Madigan Army Medical Center, Attn Mchj-Edme, Tacoma, WA 98431. The listed phone number is (253) 968-0354.

What is Jason Clark's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jason Clark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.