Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wildwood Electrolysis LLC

Organization Specialist · NPI 1639989205

Wildwood Electrolysis LLC is a Specialist in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

833 SE Main St Ste 106
Portland, OR 97214-3410
Phone: (503) 251-5902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1639989205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shay Witten — Owner/Electrologist · (541) 805-9282
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address8803 N Tyndall Ave, Portland, OR 97217-7029

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