Individual
DR. CLAYTON M BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1815 SW EMIGRANT AVE, PENDLETON, OR 97801-1843
(541) 276-3653
(541) 966-4322
Mailing address
1815 SW EMIGRANT AVE, PENDLETON, OR 97801-1843
(541) 276-3653
(541) 966-4322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2399ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047329
—
OR
Enumeration date
01/27/2007
Last updated
07/08/2007
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