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Jessica Wynn

NPI 1164352233 · on the registry since 2026 · sole proprietor

Practice

Address
430 E Dodge St
Lebanon, OR 97355
Phone
(541) 801-5145

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon