National Provider Identifier Database

MOONLIGHT ELECTROLYSIS LLC
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

MOONLIGHT ELECTROLYSIS LLC
1505 E PORTLAND RD STE 206
NEWBERG, OR97132-1852
Phone: 971-258-0035
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for MOONLIGHT ELECTROLYSIS LLC

NPI Number 1144167529
Legal business name
LBN
MOONLIGHT ELECTROLYSIS LLC
Authorized official MARK SMITH - (BUSINESS OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/02/2026
Last updated 05/02/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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