| NPI | 1487156683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J WOJCIECHOWSKI Owner/President 503-236-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1735ATI) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-19 |