Remember the Moon, LLC

NPI #1942790555 in Eugene, Oregon

Provider Information

NPI Number: 1942790555
Entity Type: Organization
Organization Name: Remember the Moon, LLC
Primary Specialty: Mastectomy Fitter
Enumeration Date: May 18, 2018
Last Updated: Jul 10, 2023

Practice Location

Address: 207 W 10TH AVE
City: Eugene
State: Oregon
ZIP Code: 97401-3008
Phone: (541) 345-9204

Authorized Official

Name: MRS. ANDREA L WOLF
Title: OWNER, MEMBER
Phone: (541) 521-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X	Primary

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