Individual
DR. CLYDE BRUCE SLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
519 NW WILDWOOD DR, VANCOUVER, WA 98665-7545
(360) 909-3776
(360) 885-7989
Mailing address
519 NW WILDWOOD DR, VANCOUVER, WA 98665-7545
(360) 909-3776
(360) 885-7989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1212AT
OR
152W00000X
Optometrist
Primary
OD00001020
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024354
—
WA
Enumeration date
04/13/2006
Last updated
01/27/2017
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