Moonlight Sleep Remedies Inc
General Practice
511 Sw 10th Ave Ste 1212, Portland
Oregon, 97205-2713
503-505-4624 Moonlight Sleep Remedies Inc is a General Practice in Portland, Oregon. It is located at 511 Sw 10th Ave Ste 1212, Portland and it's customer support contact number is 503-505-4624. The authorized person of Moonlight Sleep Remedies Inc is Dr. Mika Miyamoto, DMD who is Dentist / Owner of this DME and his contact number is 503-705-8648. Moonlight Sleep Remedies Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Moonlight Sleep Remedies Inc is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
DME Supplier Details:
Moonlight Sleep Remedies Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Moonlight Sleep Remedies Inc |
| Type: | General Practice |
| Location: | 511 Sw 10th Ave Ste 1212, Portland,
Oregon, 97205-2713 |
| Phone: | 503-505-4624 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mika Miyamoto |
| Credentials: | DMD |
| Position: | Dentist / Owner |
| Contact Number: | 503-705-8648 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1073227294 |
| NPI Enumeration Date: | 11 Jan, 2023 |
| NPI Last Update On: | 05 Feb, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moonlight Sleep Remedies Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Moonlight Sleep Remedies Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2466818372 | O20230519000254 | Moonlight Sleep Remedies Inc | DME SUPPLIER - ORAL SURGERY - DENTIST |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 511 Sw 10th Ave Ste 1212,
Portland, Oregon |
| Zip: | 97205-2713 |
| Phone Number: | 503-505-4624 |
Patients can reach Moonlight Sleep Remedies Inc at
511 Sw 10th Ave Ste 1212, Portland, Oregon or can
call on customer care at 503-505-4624.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.