Jacob Matthew Wojdyla, CCP

Primary specialty

PerfusionistTaxonomy code 242T00000X

Practice address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Phone

(331) 235-4375

NPI assigned

Oct 8, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1598362899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 ROBINHOOD DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601209523",
            "telephone_number": "331-235-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322031",
            "telephone_number": "331-235-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJDYLA",
        "first_name": "JACOB",
        "middle_name": "MATTHEW",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hans Richard Woicke, M.S.W.
• Andrew Wojciechowski, ND
• Olif Wojciechowski
• Scott J Wojciechowski, O D
• Cezary Wojcik, M.D., PH.D.
• Emily Wolbers, ND
• Elisabeth Wolcott
• John O Wolcott, LMT
• Rem Fakadou Woldeab
• Mulat Woldemariam

• Perfusionist in Portland, OR
• Providers in Portland, OR by specialty
• Perfusionist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.