Organization Active NPI

Remember the Moon, LLC

  • Mastectomy Fitter
  • Eugene, OR
National Provider Identifier
1942790555
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
REMEMBER THE MOON, LLC
Practice address
207 W 10TH Ave
Eugene, OR 97401-3008
Phone
(541) 345-9204
NPI assigned
May 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Mrs. Andrea L Wolf
Title
Owner, Member
Phone
(541) 521-3657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy FitterGroup: 193400000X SINGLE SPECIALTY GROUP 224900000X Primary

Addresses

Primary practice location

207 W 10TH Ave
Eugene, OR 97401-3008

Mailing address

537 Hayden Bridge PL
Springfield, OR 97477-1500
Phone (541) 521-3657

National Provider Directory

National Provider Directory

Locations

207 W 10th Ave
Eugene, OR 97401
Phone (541) 345-9204

347 Main St
Springfield, OR 97477

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1942790555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 HAYDEN BRIDGE PL",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771500",
            "telephone_number": "541-521-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 10TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013008",
            "telephone_number": "541-345-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEMBER THE MOON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "541-521-3657",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.