Wynn, Bethany Kay
Wynn, Bethany Kay is an individual health care provider with primary practice located at 10102 Ne Glisan St , Portland OR 97220-4456. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Wynn, Bethany Kay can be contacted via phone (503) 257-5959.Contact Information
Primary practice address
10102 Ne Glisan St
Portland OR 97220-4456
Phone: (503) 257-5959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 122468 | Oregon |
Profile Details
| NPI number | 1477026466 |
|---|---|
| LBN Legal business name | Wynn, Bethany Kay |
| Credentials | EFDA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2019 |
| Last updated | Jan 2nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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