Organization
BRUCE R WOJCIECHOWSKI
Active
Other names
Northwest Eye Care Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ROBERT WOJCIECHOWSKI O.D. (OWNER)
(503) 657-0321
Entity
Organization
Contact information
Practice address
15259 SE 82ND DR, SUITE 101, CLACKAMAS, OR 97015-6609
(503) 657-0321
Mailing address
15259 SE 82ND DR, SUITE 101, CLACKAMAS, OR 97015-6609
(503) 657-0321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1620ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213843
WORKERS' COMPENSATION
WA
05
—
2018851
—
WA
05
—
282442
—
OR
Enumeration date
05/29/2007
Last updated
04/04/2008
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