Individual
DR. CALVIN CLAYTON CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 SE EVERGREEN HWY, VANCOUVER, WA 98661
(360) 695-0563
Mailing address
6701 SE EVERGREEN HWY, VANCOUVER, WA 98661
(360) 695-0563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9351
WA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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