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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WILDWOOD ELECTROLYSIS LLC
NPI 1639989205
Specialist in Portland, OR

Active since January 07, 2025
1832 N LOMBARD ST, PORTLAND, OR 97217(503) 251-5902(971) 484-1929 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Jan 7, 2025 (2 updates tracked since 2025).

About Wildwood Electrolysis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDWOOD ELECTROLYSIS LLC (NPI 1639989205) is a healthcare organization registered as a specialist in Portland, Oregon and active in the NPI registry since January 2025. The organization lists Shay Forest Witten, Owner/electrologist, as its authorized official.

NPPES Registry Identity

NPI1639989205
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWILDWOOD ELECTROLYSIS LLC
Location Address1832 N LOMBARD STPortland, OR 97217-5662
Mailing Address1832 N Lombard StPortland, OR 97217-5662 · (503) 251-5902 · Fax (971) 484-1929
Phone(503) 251-5902
Fax(971) 484-1929
Organization SubpartNo
Authorized OfficialShay Forest WittenOwner/electrologist · (541) 805-9282
Enumeration DateJanuary 7, 2025
Last NPPES UpdateNovember 3, 20262 updates tracked since enumeration
NPPES CertifiedNovember 3, 2026
✔ NPI 1639989205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1832 N LOMBARD ST, Portland, OR 97217
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH E WATSON DDS PC
Dentist (General Practice)
1832 N LOMBARD ST
PORTLAND, OR 97217
Multnomah County (503) 235-3002
KEITH EDWARD WATSON DDS
Dentist (General Practice)
1832 N LOMBARD ST
PORTLAND, OR 97217
Multnomah County (503) 235-3002
JAMES R. EDWARDS, DDS, PC
Dentist (General Practice)
1832 N LOMBARD ST
PORTLAND, OR 97217
Multnomah County (503) 289-9675
SHAY FOREST WITTEN
Specialist
1832 N LOMBARD ST
PORTLAND, OR 97217
Multnomah County (503) 251-5902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wildwood Electrolysis LLC's NPI number?

The NPI number for Wildwood Electrolysis LLC is 1639989205. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Wildwood Electrolysis LLC located?

Wildwood Electrolysis LLC is located at 1832 N Lombard St, Portland, OR 97217. The listed phone number is (503) 251-5902.

What is Wildwood Electrolysis LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Wildwood Electrolysis LLC accept?

Health plans from Moda Health Plan, Inc. list Wildwood Electrolysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wildwood Electrolysis LLC was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.