Individual provider · Type 1 NPI
Jack Ronald Tacker, MD
General Practice Physician · Poulsbo, WA
NPI number
1336379403
Active
Practice location
19160 Front St NE
Poulsbo, WA 98370
Fax (360) 626-0600
Mailing address
PO Box 127
Poulsbo, WA 98370-0127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD00028053 (WA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
7 other providers at this address
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- Alicia Amy Williams, PTAPhysical Therapy Assistant Poulsbo, WA NPI 1699269381
- Brittany Leeann Hedin, COTAOccupational Therapy Assistant Poulsbo, WA NPI 1609351139
- Hanna HoskinsPhysical Therapy Assistant Poulsbo, WA NPI 1194600429
- Lisa PatureauOccupational Therapy Assistant Poulsbo, WA NPI 1215461025
- Sarah Mariah WeisPhysical Therapy Assistant Poulsbo, WA NPI 1609711589
Other general practice physician providers in Poulsbo
About NPI 1336379403
Jack Ronald Tacker, MD's National Provider Identifier is 1336379403, issued on Jul 22, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Poulsbo, WA. The record was last updated on Jun 5, 2013.