Healthcare Provider Details

I. General information

NPI: 1093653099
Provider Name (Legal Business Name): SYNCHRONOUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16679 BOONES FERRY RD STE 205
LAKE OSWEGO OR
97035-4368
US

IV. Provider business mailing address

16679 BOONES FERRY RD STE 205
LAKE OSWEGO OR
97035-4368
US

V. Phone/Fax

Practice location:
  • Phone: 503-635-2100
  • Fax: 503-635-9188
Mailing address:
  • Phone: 503-635-2100
  • Fax: 503-635-9188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. KHUYEN NGUYEN
Title or Position: OWNER
Credential: DMD
Phone: 503-875-3055