Individual
BRUCE ROBERT WOJCIECHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15259 SE 82ND DR, SUITE 101, CLACKAMAS, OR 97015-6609
(503) 657-0321
(503) 657-7066
Mailing address
15259 SE 82ND DR, SUITE 101, CLACKAMAS, OR 97015-6609
(503) 657-0321
(503) 657-7066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1620ATI
OR
152W00000X
Optometrist
OD00001458
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282442
—
OR
Enumeration date
10/11/2006
Last updated
07/17/2012
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