Individual
JACOB MATTHEW WOJDYLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(331) 235-4375
Mailing address
1129 ROBINHOOD DR, ELGIN, IL 60120-9523
(331) 235-4375
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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