Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clyde R Addison, MD

Individual provider Family Medicine Physician · NPI 1831121268

Clyde R Addison, MD is a Family Practice in Tacoma, Washington. Graduated from State University of New York at Buffalo School of Medicine in 1991, 35 years ago. Practices with Pacmed Clinics, a 212-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
35
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2420 S Union Ave Ste 240
Tacoma, WA 98405-1323
Phone: (253) 459-6166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00039054 (WA)

Record details

NPI number1831121268
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESSeptember 8, 2010
Mailing address315 Martin Luther King Jr Way, Tacoma, WA 98405-4234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Pacmed Clinics — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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