The Electrolysis Collective, LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

THE ELECTROLYSIS COLLECTIVE, LLC

Practice address

200 NE 20TH Ave Ste 10
Portland, OR 97232-3094

Phone

(503) 849-2127

NPI assigned

May 7, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Piney Kahn, LENPI 1790465094

Title

Owner

Phone

(503) 849-2127

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Piney Kahn, LE

  • Other Specialist/Technologist
  • Portland, OR
  • NPI 1790465094

  Specialist/Technologist, Other

  NPD (past) Authorized official
• Kara M Widergren

  • Other Specialist/Technologist
  • Portland, OR
  • NPI 1669349478

  Specialist/Technologist, Other

  NPD
• Emily Dean

  • Other Specialist/Technologist
  • Portland, OR
  • NPI 1124814819

  Specialist/Technologist, Other

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1073303822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE 20TH AVE STE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323094",
            "telephone_number": "503-849-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 20TH AVE STE 10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323094",
            "telephone_number": "503-849-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELECTROLYSIS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "PINEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-849-2127",
        "authorized_official_credential": "LE"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Portland, OR by specialty
• Other Specialist/Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.