IndividualActive
Jack Tacker, M.D.
NPI 1336379403 · General Practice Physician · Poulsbo, WA
Provider details
- NPI number
- 1336379403
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00028053 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
19160 Front St Ne
Poulsbo, WA 98370
Phone: (360) 779-7500
Fax: (360) 626-0600
Street-level locationGet directions
Mailing address
Po Box 127
Poulsbo, WA 98370-0127
Registry dates
- Enumerated
- 2009-07-22
- Last updated
- 2013-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.