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

Dr. Jack Ronald Tacker, MD

Individual provider General Practice Physician · NPI 1336379403

Dr. Jack Ronald Tacker, MD is a General Practice Physician in Poulsbo, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

19160 Frnt ST NE
Poulsbo, WA 98370
Phone: (360) 779-7500
Fax: (360) 626-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD00028053 (WA)

Record details

NPI number1336379403
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 22, 2009
Last updated in NPPESJune 5, 2013
Mailing addressPo Box 127, Poulsbo, WA 98370-0127

Other providers in Poulsbo