Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063451193 Individual Practitioner Male Practitioner

Jeffrey M Clark , PA-C

Physician Assistant • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Jeffrey Clark, PA-C is a registered healthcare professional specializing in Physician Assistant in Vancouver, WA. Practice services are available at 600 NE 92ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Ne 92nd Ave

Vancouver, WA 986643225

Telephone 3605142142
Fax 3605146820
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10002763

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8357758 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Edward Holden , PA-C

Physician Assistant

NPI 1053368340

Physician Assistant (Certified)

Jesse Hostetter Kropf

Emergency Medicine

NPI 1093957482
Dr. Jeffrey Stageberg , MD

Emergency Medicine

NPI 1194764266

Doctor of Medicine (M.D.)

Dr. Janet Shotwell , MD

Emergency Medicine

NPI 1194770529

Doctor of Medicine (M.D.)

Kirsten Holmes , PA-C

Physician Assistant

NPI 1194918409

Physician Assistant (Certified)

Suzanne Goodnight

Physician Assistant

NPI 1215982517

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2012

Registered at 600 NE 92ND AVE, VANCOUVER, WA 986643225 (Tel: 3605142142)

📍
Updated Business Mailing Address September 26, 2012

Registered at FILE 742997, LOS ANGELES, CA 900742997 (Tel: 3605142142)

👤
Provider Name / Credentials Updated September 26, 2012

Recorded as JEFFREY CLARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2012

Physician Assistant (License #PA10002763 in WA)

🟢
Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063451193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2006
Last Update: September 26, 2012
Sole Proprietor: No

Mailing Address

File 742997

Los Angeles, CA 900742997

Phone: 3605142142

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.