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

Theodore Jeffrey Clark, DC

Individual provider Chiropractor · NPI 1861705964

Theodore Jeffrey Clark, DC is a Chiropractor in Renton, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

17422 108th Ave SE #101
Renton, WA 98055-5400
Phone: (425) 255-0427
Fax: (425) 255-1066
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2219 (WA)

Record details

NPI number1861705964
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 17, 2010
Last updated in NPPESJuly 17, 2010
Mailing address17422 108th Ave Se, 101, Renton, WA 98055-5400

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