Provider Demographics
NPI:1710116074
Name:WOJCIKIEWICZ, ABIGAIL (ND)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:
Last Name:WOJCIKIEWICZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2856 NW VAN BUREN AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-5257
Mailing Address - Country:US
Mailing Address - Phone:206-251-7569
Mailing Address - Fax:
Practice Address - Street 1:2856 NW VAN BUREN AVE APT 3
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-5257
Practice Address - Country:US
Practice Address - Phone:206-251-7569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1673175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath