JEFFREY PAUL CLARK D.C.
NPI 1366417487
Chiropractor in Lake Stevens, WA

Q: What is Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1366417487. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2006

9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258(425) 335-0300(425) 335-0302 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeffrey Paul Clark D.c. NPPES

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

JEFFREY PAUL CLARK D.C. (NPI 1366417487) is an individual chiropractor in Lake Stevens, Washington, licensed in Washington (CH00002638) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1366417487

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJEFFREY PAUL CLARKCredential: D.C.

Location Address9633 MARKET PLACE, SUITE #103Lake Stevens, WA 98258

Mailing Address9633 Market Place, Suite #103Lake Stevens, WA 98258 · (425) 335-0300 · Fax (425) 335-0302

Phone(425) 335-0300

Fax(425) 335-0302

Sole ProprietorNo

Enumeration DateFebruary 22, 2006

Last NPPES UpdateMarch 6, 2017

✔ NPI 1366417487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH00002638

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

9633 MARKET PLACE, Lake Stevens, WA 98258

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Other Identifiers 6

Medicare UPINU-69682WA

Medicare PING8864763WA

Other350052980WA · Railroad Medicare

Other43630WA · Workers Comp

Medicare PING8864764WA

Medicare ID-Type UnspecifiedAB08870WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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 1366417487. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 9633 Market Place Suite #103, Lake Stevens, WA 98258. The listed phone number is (425) 335-0300.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Jeffrey Clark accept?

Health plans from PacificSource Health Plans list Jeffrey Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Clark was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.