Organization · Type 2 NPI
Wynn Street LLC
Other Specialist/Technologist · Beaverton, OR
NPI number
1730902941
Active
Practice location
10445 SW Canyon Rd Ste 114
Beaverton, OR 97005-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | None listed |
| Other Technician | 247200000X | None listed |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Another provider at this address
About NPI 1730902941
Wynn Street LLC's National Provider Identifier is 1730902941, issued on Nov 5, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Beaverton, OR. The record was last updated on May 13, 2026.