JEFFREY PAUL CLARK D.C. NPI 1366417487

NPI Information

  • NPI: 1366417487
  • Provider Name: JEFFREY PAUL CLARK, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 9633 MARKET PLACE
    SUITE #103
    LAKE STEVENS, WA
    ZIP 98258
  • Phone: (425) 335-0300

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NPI Details

Jeffrey Paul Clark, D.C. is a chiropractor in Lake Stevens, WA. The provider is 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. Jeffrey Paul Clark, D.C. NPI is 1366417487. 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:

9633 MARKET PLACE
SUITE #103
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 335-0300
Fax: (425) 335-0302

The enumeration date for this NPI number is 2/22/2006 and was last updated on 3/6/2017.

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
1111N00000XChiropractorCH00002638WASHINGTONYes

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
1U-69682MEDICARE UPINWASHINGTON
2G8864763MEDICARE PINWASHINGTON
3350052980OTHERWASHINGTONRAILROAD MEDICARE
443630OTHERWASHINGTONWORKERS COMP
5G8864764MEDICARE PINWASHINGTON
6AB08870MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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: 11/21/2025

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