Individual
WILLIAM LAWRANCE CLAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
865 NW REIMAN ST, CORVALLIS, OR 97330-6177
(541) 758-3000
Mailing address
865 NW REIMAN ST, CORVALLIS, OR 97330-6177
(541) 758-3000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000003293
OR
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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