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

Dr. Kristin Marie Clark, MD

Individual provider Military Health Care Provider · NPI 1083312904

Dr. Kristin Marie Clark, MD is a Military Health Care Provider in Tacoma, Washington. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
Specialties on file
2
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

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 325 9th Ave, Seattle, WA 98104-2499 — (206) 744-3000

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0101284165 (VA)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1083312904
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

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