Moonlight Sleep Remedies INC

NPI #1073227294 in Portland, Oregon

Provider Information

NPI Number: 1073227294
Entity Type: Organization
Organization Name: Moonlight Sleep Remedies INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 11, 2023
Last Updated: Feb 5, 2026

Practice Location

Address: 511 SW 10TH AVE STE 1212
City: Portland
State: Oregon
ZIP Code: 97205-2713
Phone: (503) 505-4624

Authorized Official

Name: DR. MIKA MIYAMOTO, DMD
Title: DENTIST / OWNER
Phone: (503) 705-8648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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