NPI | 1669856902 |
---|---|
Doing Business As | NORTHWEST EYE CARE PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | BRUCE ROBERT WOJCIECHOWSKI Manager 503-657-0321 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 1620ATI) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: OR 1620ATI) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |