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NPI 1477026466

IndividualActive

Bethany Wynn, EFDA

NPI 1477026466 · Dental Assistant · Portland, OR

Provider details

NPI number: 1477026466
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: EFDA
Sex: Female
Sole proprietor: No
License: 122468 (OR)

Practice location

10102 Ne Glisan St

Portland, OR 97220-4456

Phone: (503) 257-5959

More OR providers

Mailing address

10102 Ne Glisan St

Portland, OR 97220-4456

Registry dates

Enumerated: 2019-01-02
Last updated: 2019-01-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bethany Wynn, EFDA — NPI 1477026466, Portland, OR | NPI Central