Moon Sisters Midwifery LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

MOON SISTERS MIDWIFERY LLC

Practice address

2004 Main St Ste 313
Forest Grove, OR 97116-7338

Phone

(503) 341-6988

Fax

(503) 894-6036

NPI assigned

Dec 7, 2024

Organization subpart

No

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

Authorized official

Name

Desiree Lang, CPM, LDMNPI 1508391392

Title

Owner/Practioner

Phone

(503) 341-6988

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Desiree A Lang, CPM, LDM

  • Midwife
  • Forest Grove, OR
  • NPI 1508391392
  NPD Authorized official

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1295541936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 ASH ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162424",
            "telephone_number": "503-341-6988",
            "fax_number": "503-894-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MAIN ST STE 313",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971167338",
            "telephone_number": "503-341-6988",
            "fax_number": "503-894-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON SISTERS MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "503-341-6988",
        "authorized_official_credential": "CPM, LDM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Modafferi, PT
• Valynn Mohorich
• Molly D. Saunders D.M.D. P.C.
• Britlee Monroe
• Yesenia Montanez Torres
• Stephen Patrick Moon, M.D.
• Amanda Kay Moore, OTR/L
• Jobriath Michael Morgan, LCSW
• Sheila Dale Morrison, O.D.
• Movement Health and Sports Medicine

• Birthing Clinic/Center in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Birthing Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.