Individual provider · Type 1 NPI

Jeffrey Paul Clark, DC

Chiropractor · Lake Stevens, WA

NPI number 1366417487 Active

Practice location

9633 Market Place, Suite #103
Lake Stevens, WA 98258

Fax (425) 335-0302

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH00002638 (WA)

Chiropractor: 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.

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About NPI 1366417487

Jeffrey Paul Clark, DC's National Provider Identifier is 1366417487, issued on Feb 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Stevens, WA. The record was last updated on Mar 6, 2017.