PETE A. JACQUES PA-C NPI 1104890656

NPI Information

  • NPI: 1104890656
  • Provider Name: PETE A. JACQUES, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 2202 S CEDAR ST
    STE. #310
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 272-5127

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NPI Details

Pete A. Jacques, PA-C is a medical physician assistant in Tacoma, WA. Pete A. Jacques, PA-C NPI is 1104890656. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2202 S CEDAR ST
STE. #310
TACOMA, WA
ZIP 98405-318
Phone: (253) 272-5127
Fax: (253) 404-0506

The enumeration date for this NPI number is 2/13/2006 and was last updated on 6/15/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA10001731WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AB32889MEDICARE PINWASHINGTON
2AB32890MEDICARE PINWASHINGTON
3PA10001731OTHERWASHINGTONWA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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