Active NPI
Jodi Wynn Turner
- Other Specialist/Technologist
- Beaverton, OR
National Provider Identifier
1669298584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 10249460
- Practice address
- 10445 SW Canyon Rd Ste 114
Beaverton, OR 97005-1913 - Phone
- (971) 303-9360
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 10249460 | OR | Primary |
Addresses
Primary practice location
10445 SW Canyon Rd Ste 114
Beaverton, OR 97005-1913
Mailing address
10445 SW Canyon Rd Ste 114
Beaverton, OR 97005-1913
Phone (971) 303-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10249460 | OR | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wynn Street LLC | Technician/Technologist | Current | Accepting new patients |
Locations
10445 SW Canyon Rd
Ste 114
Beaverton, OR 97005
Phone (971) 303-9360
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1669298584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10445 SW CANYON RD STE 114",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051913",
"telephone_number": "971-303-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10445 SW CANYON RD STE 114",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970051913",
"telephone_number": "971-303-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "JODI",
"middle_name": "WYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "OR",
"license": "10249460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.