Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366417487 Individual Practitioner Male Practitioner

Dr. Jeffrey Paul Clark , DC

Chiropractor • Lake Stevens, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Clark, DC is a registered healthcare professional specializing in Chiropractor in Lake Stevens, WA. Practice services are available at 9633 MARKET PLACE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9633 Market Place
Suite #103

Lake Stevens, WA 98258

Telephone 4253350300
Fax 4253350302
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lake Stevens, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.3 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
14 Specialists

Practicing in Lake Stevens, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00002638

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare
350052980 (WA)
Commercial Insurance / Payer ID Workers Comp
43630 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Suthida Belan , LMT

Massage Therapist

NPI 1073110870

Licensed Massage Therapist

NPI 1154668309

Licensed Massage Practitioner

Ashley Tice , LMT

Massage Therapist

NPI 1164769618

Licensed Massage Therapist

Allyson Lawton , LMT

Massage Therapist

NPI 1437705878

Licensed Massage Therapist

Jahja Djajaputra , LMT

Massage Therapist

NPI 1649877481

Licensed Massage Therapist

Jennifer Campbell , LMT

Massage Therapist

NPI 1679048649

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2017

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

📍
Updated Business Mailing Address March 06, 2017

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

👤
Provider Name / Credentials Updated March 06, 2017

Recorded as JEFFREY CLARK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2017

Chiropractor (License #CH00002638 in WA)

NPI Profile Active October 16, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2008

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

📍
Updated Business Mailing Address October 16, 2008

Registered at 9633 MARKET PLACE, SUITE #103, LAKE STEVENS, WA 98258 (Tel: 4253350300)

👤
Provider Name / Credentials Updated October 16, 2008

Recorded as JEFFREY CLARK, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2008

Chiropractor (License #CH00002638 in WA)

🟢
Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366417487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2006
Last Update: March 06, 2017
Sole Proprietor: No

Mailing Address

9633 Market Place, Suite #103

Lake Stevens, WA 98258

Phone: 4253350300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.