Individual
DR. MIKE WOJTKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-7723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3089
OR
Other
Enumeration date
08/09/2016
Last updated
09/10/2019
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