Individual
REBECCA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1815 NW 169TH PL STE 3070, BEAVERTON, OR 97006-7368
(971) 249-2653
(503) 747-4373
Mailing address
1815 NW 169TH PL STE 3070, BEAVERTON, OR 97006-7368
(971) 249-2653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
522367
OR
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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