WYNN STREET LLC NPI 1730902941

NPI Information

  • NPI: 1730902941
  • Provider Name: WYNN STREET LLC
  • Classification: Technician/Technologist - 156F00000X
  • Entity Type: Organization
  • Address: 10445 SW CANYON RD STE 114
    BEAVERTON, OR
    ZIP 97005
  • Phone: (971) 303-9360

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NPI Details

WYNN STREET LLC is a technician technologist in Beaverton, OR. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. WYNN STREET LLC NPI is 1730902941. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10445 SW CANYON RD STE 114
BEAVERTON, OR
ZIP 97005-913
Phone: (971) 303-9360

The provider's authorized official is Jodi Wynn Turner .
The authorized official title is Owner/manager and has the following contact phone number (971) 303-9360.

The enumeration date for this NPI number is 11/5/2024 and was last updated on 11/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156F00000XTechnician/TechnologistYes
2247200000XTechnician, OtherNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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