Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Kay Wynn, EFDA

Individual provider Dental Assistant · NPI 1477026466

Bethany Kay Wynn, EFDA is a Dental Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

10102 NE Glisan St
Portland, OR 97220-4456
Phone: (503) 257-5959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 122468 (OR)

Record details

NPI number1477026466
Entity typeIndividual (Type 1)
GenderFemale
Credentials EFDA
Sole proprietorNo
NPI enumeratedJanuary 2, 2019
Last updated in NPPESJanuary 2, 2019
Mailing address10102 Ne Glisan St, Portland, OR 97220-4456

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