MEDICARE: SYNCHRONOUS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1093653099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNCHRONOUS LLC

Provider Business Mailing Address
First Line	:	16679 BOONES FERRY RD STE 205
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-4368
Country	:	US
Telephone Number	:	503-635-2100
Fax Number	:	503-635-9188

Provider Business Practice Location Address
First Line	:	16679 BOONES FERRY RD STE 205
Second Line	:
City	:	LAKE OSWEGO
State	:	OR
Zip	:	97035-4368
Country	:	US
Telephone Number	:	503-635-2100
Fax Number	:	503-635-9188

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KHUYEN NGUYEN
Credential	:	DMD
Telephone Number	:	503-875-3055

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “SYNCHRONOUS LLC ” Practice Location

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