Organization
SCOTT J WOJCIECHOWSKI OD
Active
Other names
Moreland Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J WOJCIECHOWSKI O.D. (SOLE PROPRIETOR)
(503) 236-6008
Entity
Organization
Contact information
Practice address
6539 SE MILWAUKIE AVE, PORTLAND, OR 97202-5519
(503) 236-6008
(503) 236-2057
Mailing address
6539 SE MILWAUKIE AVE, PORTLAND, OR 97202-5519
(503) 236-6008
(503) 236-2057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1735AT
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126693
—
OR
Enumeration date
02/24/2009
Last updated
02/21/2014
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