Individual provider · Type 1 NPI

Jeffrey M. Clark, PA-C

Physician Assistant · Vancouver, WA

NPI number 1063451193 Active

Practice location

600 NE 92nd Ave
Vancouver, WA 98664-3225

Call (360) 514-2142 Map

Fax (360) 514-6820

Mailing address

File 742997
Los Angeles, CA 90074-2997

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10002763 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063451193

Jeffrey M. Clark, PA-C's National Provider Identifier is 1063451193, issued on Jun 5, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 26, 2012.