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Next Update: Friday, April 26, 2024 2:50 AM CDT
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|
TACKER, JACK RONALD |
| Practice Address: |
19160 FRONT ST. NE PO BOX 127
POULSBO WA 98370
Address last updated on 8/15/2013 |
| Phone #: |
(360) 394-4071 |
| Fax #: |
(360) 516-6279 |
| County: |
NOT OKLAHOMA |
| License: |
11026 |
| Dated: |
9/15/1976 |
| Expires: |
9/1/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
General Practice |
|
| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
/
1975 |
| CME Year: |
2015 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
|
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Medicare Blue
National Preferred Provider Network (NPPN)
Tricare Standard
United Insurance |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
,
|
|
| Locations: |
Hours: |
Languages: |
19160 FRONT ST. NE PO BOX 127
POULSBO WA 98370
Phone #:
(360) 394-4071
Fax #:
(360) 516-6279 |
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:30PM
Sat:
Sun: |
|
2601 Cherry Av.
Bremerton, WA 98310
Phone #:
(360) 479-6041 x285
Fax #:
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Mon: 9:00AM - 4:30PM
Tue: 9:00AM - 4:30PM
Wed:
Thu:
Fri:
Sat:
Sun: 12:00PM - 0:00PM open emergency only |
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