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

Mr. John P Clark, PAC

Individual provider Medical Physician Assistant · NPI 1811922982

Mr. John P Clark, PAC is a Medical Physician Assistant in Royal City, Washington. Licensed in California and Washington. Registered with an NPI since 2006.

Licensed in
CA, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

101 Camelia St NW
Royal City, WA 99357
Phone: (509) 346-1447
Fax: (509) 346-1481
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10001599 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA11682 (CA)

Record details

NPI number1811922982
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 8, 2007