Individual
MR. PATRICK RAYMOND BUCZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
12100 SE STEVENS CT, SUITE 106, HAPPY VALLEY, OR 97086-4707
(503) 353-7300
Mailing address
12100 SE STEVENS CT, SUITE 106, HAPPY VALLEY, OR 97086-4707
(503) 353-7300
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
02/05/2008
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