Organization
MOONLIGHT SLEEP REMEDIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKA MIYAMOTO DMD (DENTIST / OWNER)
(503) 705-8648
Entity
Organization
Contact information
Practice address
511 SW 10TH AVE STE 1212, PORTLAND, OR 97205-2713
(503) 505-4624
Mailing address
511 SW 10TH AVE STE 1212, PORTLAND, OR 97205-2713
(503) 505-4624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/11/2023
Last updated
02/05/2026
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