Individual
PAULA WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12100 SE STEVENS CT STE 106, CLACKAMAS EYE CLINIC, PORTLAND, OR 97086-4707
(503) 353-7300
Mailing address
12100 SE STEVENS CT STE 106, CLACKAMAS EYE CLINIC, PORTLAND, OR 97086-4707
(503) 353-7300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A103635
CA
207W00000X
Ophthalmology Physician
Primary
MD151390
OR
Other
Enumeration date
05/18/2007
Last updated
02/04/2022
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