| Pearl Integrative Medicine Llc | |
|
620 Se Oak St Ste E Hillsboro OR 97123-4160 | |
| (503) 747-3096 | |
| (503) 747-3735 |
| Full Name | Pearl Integrative Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 620 Se Oak St Ste E, Hillsboro, Oregon |
| Authorized Official Name and Position | Shawn Marie Peters (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5033414563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Integrative Medicine Llc 620 Se Oak St Ste E Hillsboro OR 97123-4160 Ph: (503) 747-3096 | Pearl Integrative Medicine Llc 620 Se Oak St Ste E Hillsboro OR 97123-4160 Ph: (503) 747-3096 |
| NPI Number | 1407383730 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407383730 | NPI | - | NPPES |
| 1841359882 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1401 (Oregon) | Primary |
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