Jeffrey M Clark, PA-C | |
600 Ne 92nd Ave, Vancouver, WA 98664-3225 | |
(360) 514-2142 | |
(360) 514-6820 |
Full Name | Jeffrey M Clark |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 600 Ne 92nd Ave, Vancouver, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063451193 | NPI | - | NPPES |
8357758 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA10002763 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffrey M Clark, PA-C File 742997, Los Angeles, CA 90074-2997 Ph: (360) 514-2142 | Jeffrey M Clark, PA-C 600 Ne 92nd Ave, Vancouver, WA 98664-3225 Ph: (360) 514-2142 |
Breanne Cannon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl Ste 300, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 | |
Jonathan Riggs, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St Ste 220, Vancouver, WA 98686 Phone: 360-882-2778 | |
Kendra Bray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100 Fax: 360-735-3400 | |
Laura E Brandt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664 Phone: 360-254-5267 | |
Susan Arnold-edgar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-397-1500 Fax: 360-397-3128 | |
Joseph D Mathias, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1697 | |
Joy M Erickson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100 Fax: 360-735-3400 |