REMEMBER THE MOON LLC NPI 1942790555

NPI Information

  • NPI: 1942790555
  • Provider Name: REMEMBER THE MOON, LLC
  • Classification: Mastectomy Fitter - 224900000X
  • Entity Type: Organization
  • Address: 207 W 10TH AVE
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 345-9204

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NPI Details

REMEMBER THE MOON, LLC is a mastectomy fitter in Eugene, OR. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. REMEMBER THE MOON, LLC NPI is 1942790555. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 W 10TH AVE
EUGENE, OR
ZIP 97401-008
Phone: (541) 345-9204

The provider's authorized official is Andrea L Wolf .
The authorized official title is Owner, Member and has the following contact phone number (541) 521-3657.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 7/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224900000XMastectomy FitterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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