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

Nicholas Clark, DO

Individual provider Pediatrics Physician · NPI 1740816842

Nicholas Clark, DO is a Pediatrics Physician in Tacoma, Washington. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-9098
Phone: (253) 968-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0102207074 (VA)

Record details

NPI number1740816842
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address9040 Jackson Ave, Tacoma, WA 98431-0001

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