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DR. CLARK M WAFFLE M.D.
NPI 1407891922
Emergency Medicine in Puyallup, WA

Active since June 18, 2006
407 14TH AVE SE, PUYALLUP, WA 98372(253) 848-6661(253) 770-5990 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clark M Waffle M.d. NPPES

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

DR. CLARK M WAFFLE M.D. (NPI 1407891922) is an individual emergency medicine provider in Puyallup, Washington, licensed in Washington (MD00021479) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1407891922
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CLARK M WAFFLECredential: M.D.
Location Address407 14TH AVE SEPuyallup, WA 98372-3770
Mailing Address6814 90th St EPuyallup, WA 98371-6434 · (253) 841-0174
Phone(253) 848-6661
Fax(253) 770-5990
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateMarch 7, 2008
✔ NPI 1407891922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · MD00021479
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
407 14TH AVE SE, Puyallup, WA 98372
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Other Identifiers 3

Medicare UPINA08716WA
Medicare PIN8801040WA
Medicaid1002369WA

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.

MIAO HUANG M.D.
Internal Medicine
407 14TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 697-4000
MULTICARE HEALTH SYSTEM
Rehabilitation Unit
407 14TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 697-2065
DR PATRICE N STEVENSON
Physical Medicine & Rehabilitation
407 14TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 862-5138
DR. ERIC B TULLEY M.D.
Emergency Medicine
407 14TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 848-6661
BETTY JO PAUL RD
Dietitian, Registered
407 14TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 697-1942
DR. BOBBI A SIPES M.D.
Emergency Medicine
407 14TH AVE SE, 407-14TH AVE. SE, POB 1247
PUYALLUP, WA 98372
Pierce County (253) 697-1848
DR. MICHAEL JOHN REGALADO M.D.
Emergency Medicine
407 14TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 848-6661
CAROLYN LYNN VANDERBLOEMEN MSW
Social Worker (Clinical)
407 14TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 697-4000

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 Clark Waffle's NPI number?

The NPI number for Clark Waffle is 1407891922. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Clark Waffle located?

Clark Waffle practices at 407 14th Ave SE, Puyallup, WA 98372. The listed phone number is (253) 848-6661.

What is Clark Waffle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Clark Waffle was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.