Individual
WILLIAM R WOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 NE 3RD ST STE 102, BEND, OR 97701-3854
(541) 385-5848
(541) 330-0988
Mailing address
1900 NE 3RD ST STE 102, BEND, OR 97701-3854
(541) 385-5848
(541) 330-0988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2164ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023270
—
OR
Enumeration date
01/05/2007
Last updated
03/17/2008
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