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BETHANY KAY WYNN EFDA
NPI 1477026466
Dental Assistant in Portland, OR

Active since January 02, 2019
10102 NE GLISAN ST, PORTLAND, OR 97220(503) 257-5959 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany Kay Wynn Efda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY KAY WYNN EFDA (NPI 1477026466) is an individual dental assistant in Portland, Oregon, licensed in Oregon (122468) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1477026466
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameBETHANY KAY WYNNCredential: EFDA
Location Address10102 NE GLISAN STPortland, OR 97220-4456
Mailing Address10102 Ne Glisan StPortland, OR 97220-4456 · (503) 257-5959
Phone(503) 257-5959
Sole ProprietorNo
Enumeration DateJanuary 2, 2019
✔ NPI 1477026466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in OR · 122468
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
10102 NE GLISAN ST, Portland, OR 97220
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANNA GRANDI DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Dentist (General Practice)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (800) 813-2000
YESICA LEON
Dentist (Pediatric Dentistry)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959
MRS. MARLENE JOANNE CRANK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 275-5959
LEAH DIXON DA
Dental Assistant
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 813-2000
MALVINA SHULIK RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 286-6868
JESSICA GIANG RDH
Dental Hygienist
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (502) 286-6868
DR. DAVID M. TEETER DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
10102 NE GLISAN ST
PORTLAND, OR 97220
Multnomah County (503) 257-5959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Wynn's NPI number?

The NPI number for Bethany Wynn is 1477026466. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Where is Bethany Wynn located?

Bethany Wynn practices at 10102 NE Glisan St, Portland, OR 97220. The listed phone number is (503) 257-5959.

What is Bethany Wynn's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Bethany Wynn was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.