Search › Washington › General Practice Physician
Jack Tacker, M.D
NPI 1336379403 · on the registry since 2009 · sole proprietor
Practice
- Address
- 19160 Front St Ne
Poulsbo, WA 98370 - Phone
- (360) 779-7500
- Fax
- (360) 626-0600
- Organisation at this address
- Martha And Mary Health Services
Martha And Mary Lutheran Services
Martha & Mary Home And Community ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- General Practice Physician
208D00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington