National Provider Identifier Database

WYNN STREET LLC
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

WYNN STREET LLC
10445 SW CANYON RD STE 114
BEAVERTON, OR97005-1913
Phone: 971-303-9360
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X
Technician, Other 247200000X

* Indicates primary specialty

NPI Profile & details for WYNN STREET LLC

NPI Number 1730902941
Legal business name
LBN
WYNN STREET LLC
Authorized official JODI TURNER - (OWNER/MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 11/05/2024
Last updated 05/13/2026 - About 3 weeks ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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