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WILDWOOD ELECTROLYSIS LLC
NPI 1639989205
Specialist in Portland, OR

Active since January 07, 2025
833 SE MAIN ST STE 106, PORTLAND, OR 97214(503) 251-5902 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 Address833 SE MAIN ST STE 106Portland, OR 97214-3410
Mailing Address8803 N Tyndall AvePortland, OR 97217-7029 · (541) 805-9282
Phone(503) 251-5902
Organization SubpartNo
Authorized OfficialShay Forest WittenOwner/electrologist · (541) 805-9282
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ 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.
833 SE MAIN ST STE 106, Portland, OR 97214
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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

Other Providers at the Same Location NPPES 2

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

CHRISTINE ALEXANDER CAE, CE, CE (OR, CA)
Specialist
833 SE MAIN ST STE 106
PORTLAND, OR 97214
Multnomah County (971) 801-2378
ALEXANDRIA CRUM
Specialist/Technologist, Other
833 SE MAIN ST STE 106
PORTLAND, OR 97214
Multnomah County (972) 832-1414

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 833 SE Main St Ste 106, Portland, OR 97214. 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.

When was this NPI record last updated?

The NPPES record for Wildwood Electrolysis LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.