| Pearl Natural Health Llc | |
|
111 Ne Jessup St Portland OR 97211-2517 | |
| (503) 230-8973 | |
| Not Available |
| Full Name | Pearl Natural Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 111 Ne Jessup St, Portland, Oregon |
| Authorized Official Name and Position | Ellen Goldsmith (OWNER, OPERATOR) |
| Authorized Official Contact | 5032308973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Natural Health Llc Po Box 11221 Portland OR 97211-0221 Ph: (503) 230-8973 | Pearl Natural Health Llc 111 Ne Jessup St Portland OR 97211-2517 Ph: (503) 230-8973 |
| NPI Number | 1417533795 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417533795 | NPI | - | NPPES |
| 1700818069 | Other | OR | INDIVIDUAL NPI NUMBER |
| 1700818069 | Other | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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