IndividualActive
Pete Jacques, PA-C
NPI 1104890656 · Medical Physician Assistant · Tacoma, WA
Provider details
- NPI number
- 1104890656
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA10001731 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2202 S Cedar St
Ste. #310
Tacoma, WA 98405-2318
Phone: (253) 272-5127
Fax: (253) 404-0506
Street-level locationGet directions
Mailing address
Po Box 1241
Tacoma, WA 98401-1241
Registry dates
- Enumerated
- 2006-02-13
- Last updated
- 2009-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.