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

Dr. Stacey K Clark, MD

Individual provider Emergency Medicine Physician · NPI 1013170869

Dr. Stacey K Clark, MD is an Emergency Medicine in Spokane Valley, Washington. Qualified in 2008, 18 years ago. Practices with Public Hospital District 1-A of Whitman County, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
18
Licensed in
MI, WA
In the registry since
2008
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

16528 E Desmet Ct
Spokane Valley, WA 99216-3522
Phone: (509) 944-8910
Fax: (509) 227-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 835 Se Bishop Blvd, Pullman, WA 99163-5512 — (509) 332-2541

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD60733583 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301092664 (MI)

Record details

NPI number1013170869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Public Hospital District 1-A Of Whitman County — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane Valley