THOMAS DONALD WYNNE


Address: 3620 N Interstate Ave, Portland, OR 97227-1106
Phone: 5032802931

THOMAS DONALD WYNNE (NPI# 1417945106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417945106
Entity Type Individual
Full Name THOMAS DONALD WYNNE
Credential M.D.
Practice Address 3620 N Interstate Ave
Portland
OR 97227-1106
Practice Telephone 5032802931
Practice Fax Number 5032802938
Mailing Telephone 5032802931
Mailing Fax Number 5032802938
Enumeration Date 2005-10-07
Last Update Date 2013-01-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD19191 OR Allopathic & Osteopathic Physicians
N 2085R0203X Radiology
Specialization: Therapeutic Radiology
MD19191 OR Allopathic & Osteopathic Physicians

Other Providers THOMAS WYNNE

NPI Name Taxonomy Address Enumeration
1851335368 Thomas W Wynne Social Worker 6 Desta Dr, Suite 2640, Midland, TX 79705-5520 2006-06-15
1831564830 Thomas Frank Wynne Counselor 515 Lakeway Dr, Bellingham, WA 98225-5233 2015-12-02
1235292202 Thomas Declan Wynne Counselor 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 2006-12-19

Office Location

Street Address 3620 N INTERSTATE AVE
City PORTLAND
State OR
Zip Code 97227-1106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083601835 Thomas Harry Johnson Radiology 3620 N Interstate Ave, Portland, OR 97227-1106 2005-10-05
1033402995 Aaron Nathaniel Sabolch Radiology 3620 N Interstate Ave, Portland, OR 97227-1106 2011-05-25
1093043424 Kaiser Foundation Health Plan of The Northwest Clinic/Center 3620 N Interstate Ave, Portland, OR 97227-1106 2009-11-23
1043208820 Jaishanker Nautiyal Radiology 3620 N Interstate Ave, Portland, OR 97227-1106 2005-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
Find all providers in zip 97227

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235549031 Amar Srivastava Radiology 4805 Ne Glisan St, Garden Level, Portland, OR 97213 2014-05-01
1962848655 Joshua M Walker Radiology 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239 2013-05-21
1578610382 Jerry Jeff Jaboin Radiology 3181 Sw Sam Jackson Park Rd # L337, Department of Radiation Medicine, Portland, OR 97239-3011 2007-01-04
1770520892 Katie Anne Deming Radiology 1400 Nw Irving St, 527, Portland, OR 97209-2210 2006-05-31
1043299217 Andrew Yoo Jong Kee Radiology 1130 Nw 22nd Ave Ste Ll50, Portland, OR 97210-2900 2006-01-16
1083601835 Thomas Harry Johnson Radiology 3620 N Interstate Ave, Portland, OR 97227-1106 2005-10-05
1356338149 Misa Melissa Lee Radiology 1130 Nw 22nd Avenue, Ll50, Portland, OR 97210-2900 2005-10-05
1952780512 Blair M Murphy Radiology 3181 Sw Sam Jackson Park Rd # Kpv4, Portland, OR 97239-3011 2015-05-28
1114304870 Eric Michael Chang Radiology 3181 Sw Sam Jackson Park Rd # L337, Portland, OR 97239-3011 2015-05-01
1073908505 Whitney Beeler Radiology 22 Bramhall St, Portland, ME 04102-3134 2015-04-01
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97227

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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