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WYNN STREET LLC
NPI 1730902941
Specialist/Technologist, Other in Beaverton, OR

Active since November 05, 2024
10445 SW CANYON RD STE 114, BEAVERTON, OR 97005(971) 303-9360 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2026, Nov 7, 2024 (2 updates tracked since 2024).

About Wynn Street Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYNN STREET LLC (NPI 1730902941) is a healthcare organization registered as a specialist/technologist, other in Beaverton, Oregon and active in the NPI registry since November 2024. The organization lists Jodi Wynn Turner, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1730902941
Entity TypeOrganization
Primary Taxonomy246Z00000X
Legal Business NameWYNN STREET LLC
Location Address10445 SW CANYON RD STE 114Beaverton, OR 97005-1913
Mailing Address10445 Sw Canyon Rd Ste 114Beaverton, OR 97005-1913 · (971) 303-9360
Phone(971) 303-9360
Organization SubpartYesParent: Electro Glow Electrology
Authorized OfficialJodi Wynn TurnerOwner/manager · (971) 303-9360
Enumeration DateNovember 5, 2024
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1730902941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Also ListedTechnician, OtherTaxonomy 247200000X
10445 SW CANYON RD STE 114, Beaverton, OR 97005
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODI WYNN TURNER
Specialist/Technologist, Other
10445 SW CANYON RD STE 114
BEAVERTON, OR 97005
Washington County (971) 303-9360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wynn Street LLC's NPI number?

The NPI number for Wynn Street LLC is 1730902941. It was assigned to this organization in the NPPES registry on November 5, 2024.

Where is Wynn Street LLC located?

Wynn Street LLC is located at 10445 SW Canyon Rd Ste 114, Beaverton, OR 97005. The listed phone number is (971) 303-9360.

What is Wynn Street LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Wynn Street LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.