Most Relevant Information
Provider Data
| NPI Number: | 1003663618 |
| Provider Name: | ALEXANDER MORGAN WYNN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/01/2024 |
| Last Updated: | 05/01/2024 |
Provider Practice Location
115 W BOND ST
ASTORIA
OR
971036009
Practice Location Phone/Fax
| Phone: | 5033255722 |
| Fax: |
Provider Mailing Location
65 N HIGHWAY 101 STE 204
WARRENTON
OR
971469371
Provider Mailing Phone/Fax
| Phone: | 5033255722 |
| Fax: |