Organization
NORTHWEST EYE CARE LLC
Active
Other names
Northwest Eye Care Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ROBERT WOJCIECHOWSKI O.D. (MANAGER)
(503) 657-0321
Entity
Organization
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
152WV0400X
Vision Therapy Optometrist
1620ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213843
WORKER'S COMPENSATOIN
WA
05
—
282442
—
OR
Enumeration date
07/16/2015
Last updated
07/16/2015
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