MR. JOHN P CLARK PAC
NPI 1811922982
Physician Assistant - Medical in Royal City, WA

Q: What is John Clark's NPI number?

The NPI number for John Clark is 1811922982. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is John Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for John Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 11, 2006

101 CAMELIA ST NW, ROYAL CITY, WA 99357(509) 346-1447(509) 346-1481 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. John P Clark Pac NPPES

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

MR. JOHN P CLARK PAC (NPI 1811922982) is an individual medical provider in Royal City, Washington, licensed in Washington (PA10001599) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1811922982

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JOHN P CLARKCredential: PAC

Location Address101 CAMELIA ST NWRoyal City, WA 99357

Mailing AddressPo Box 1028, 101 Camelia St NwRoyal City, WA 99357 · (509) 346-1447 · Fax (509) 346-1481

Phone(509) 346-1447

Fax(509) 346-1481

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811922982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in WA · PA10001599✔ Licensed in CA · PA11682

101 CAMELIA ST NW, Royal City, WA 99357

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Other Providers at the Same Location NPPES

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

CLINIC AT ROYAL CITY

Non-Pharmacy Dispensing Site

101 CAMELIA ST NW
ROYAL CITY, WA 99357

Grant County (509) 346-1447

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 John Clark's NPI number?

The NPI number for John Clark is 1811922982. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is John Clark located?

John Clark practices at 101 Camelia St NW, Royal City, WA 99357. The listed phone number is (509) 346-1447.

What is John Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for John Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.