Pearl Health Center,Pc
LBN: Pearl Health Center,Pc
Pearl Health Center,Pc is an health care organization with primary practice located at 721 Nw 9Th Ave Ste 100A , Portland OR 97209-3477. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Pearl Health Center,Pc can be contacted via phone (503) 525-0090, or through Freshman House, Shari S via phone (503) 525-0090.
Contact Information
Primary practice address
721 Nw 9Th Ave Ste 100A
Portland OR 97209-3477
Phone: (503) 525-0090
Fax: (971) 244-0219
Website:
Authorized official contact:
Name: Freshman House, Shari S Family Nurse Practitioner (FNP)
Phone: (503) 525-0090
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Oregon | |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 363LFOOOOX | Oregon |
Profile Details
| NPI number | 1104918275 |
|---|---|
| LBN Legal business name | Pearl Health Center,Pc |
| DBA Doing business as | |
| Authorized official | Freshman House, Shari S Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104918275 | NPPES |
| Oregon | MEDICAID | 027741 |
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