IndividualActive
Jason Clark, M.D.
NPI 1104951086 · General Practice Physician · Tacoma, WA
Jason Clark, M.D. is a General Practice Physician provider in Tacoma, WA (NPI 1104951086).
Provider details
- NPI number
- 1104951086
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 24024 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9040 Reid St
Madigan Army Medical Center, Attn Mchj-Edme
Tacoma, WA 98431-1100
Phone: (253) 968-0354
Fax: (253) 968-5926
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Reid St
Tacoma, WA 98431-1100
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jason Clark's NPI number?
- Jason Clark's National Provider Identifier (NPI) is 1104951086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Clark's specialty?
- Jason Clark is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Jason Clark located?
- Jason Clark's practice location on file with NPPES is 9040 Reid St, Tacoma, WA 98431-1100.
- What is Jason Clark's phone number?
- The practice phone number listed in the NPPES registry for Jason Clark is (253) 968-0354.
- Is Jason Clark's NPI active?
- Yes — Jason Clark's NPI (1104951086) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.