Wynn Street LLC
NPI 1730902941ActiveOrganization· Specialist/Technologist, Other· Beaverton, OR
Specialist/Technologist, Other in Beaverton, Oregon, registered in NPPES in November 2024, part of Electro Glow Electrology. The authorized official on file is Jodi Wynn Turner, Owner/Manager.
Overview
| NPI | 1730902941 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Electro Glow Electrology |
| NPI issued | Nov 5, 2024 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | — | — |
| Technician, Other | 247200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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