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Next Update: Thursday, December 19, 2024 2:50 AM CST
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TACKER, JACK RONALD
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| 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 |
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| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
/
1975 |
| CME Year: |
2015 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| 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
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| 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: |
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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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