Individual
DR. JAMES BOND WENTZIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12100 SE STEVENS CT., STE 106, CLASKAMAS EYECARE, PORTLAND, OR 97266-7266
(503) 653-1442
Mailing address
3254 SE CRYSTAL SPRINGS BLVD, PORTLAND, OR 97202-8565
(503) 775-3655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OR MD17537
OR
207W00000X
Ophthalmology Physician
WA MD00035028
WA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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