Wynns, Charles Moore
Wynns, Charles Moore is an sole proprietor health care provider with primary practice located at 1675 Sw Marlow Ave Ste 200 , Portland OR 97225-5102. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Wynns, Charles Moore can be contacted via phone (866) 523-4268.Contact Information
Primary practice address
1675 Sw Marlow Ave Ste 200
Portland OR 97225-5102
Phone: (866) 523-4268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1417694274 |
|---|---|
| LBN Legal business name | Wynns, Charles Moore |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2022 |
| Last updated | May 13th, 2022 - about 4 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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