Individual provider · Type 1 NPI
Felicia Gwyn, CAE, LE
Technician/Technologist · Gresham, OR
NPI number
1912722331
Active
Practice location
718 N Main Ave
Gresham, OR 97030-7229
Mailing address
29320 SE Wheeler Rd
Boring, OR 97009-8428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | BAP-E-10248793 (OR) |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
2 other providers at this address
About NPI 1912722331
Felicia Gwyn, CAE, LE's National Provider Identifier is 1912722331, issued on Nov 20, 2024. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Gresham, OR. The record was last updated on Nov 20, 2024.