Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT 60472418 | WA |
NPI | 1114330925 |
---|---|
Provider Name | Olif Wojciechowski |
First Address | Portland, OR 97209-2545 |
Second Address | Portland, OR 97209-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2014 |
Last Update Date | 09/06/2014 |