Organization
REMEMBER THE MOON, LLC
Active
Organization
REMEMBER THE MOON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA L WOLF (OWNER, MEMBER)
(541) 521-3657
Entity
Organization
Contact information
Practice address
207 W 10TH AVE, EUGENE, OR 97401-3008
(541) 345-9204
Mailing address
537 HAYDEN BRIDGE PL, SPRINGFIELD, OR 97477-1500
(541) 521-3657
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
05/18/2018
Last updated
07/10/2023
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