Individual
DR. JOHN E CLAVADETSCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21005 44TH AVE W, SUITE 102, MOUNTLAKE TERRACE, WA 98043-3584
(425) 775-7144
(425) 673-7885
Mailing address
21005 44TH AVE W, SUITE 102, MOUNTLAKE TERRACE, WA 98043-3584
(425) 775-7144
(425) 673-7885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3280TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8026031
—
WA
Enumeration date
05/24/2006
Last updated
07/09/2007
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