Address: 111 Ne Jessup St, Portland, OR 97211-2517

PEARL NATURAL HEALTH LLC (NPI# 1417533795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417533795
Entity Type Organization
Practice Address 111 Ne Jessup St
OR 97211-2517
Practice Telephone 5032308973
Mailing Address Po Box 11221
OR 97211-0221
Mailing Telephone 5032308973
Certification Date 2021-03-18
Enumeration Date 2021-03-18
Last Update Date 2021-03-18
Authorized Official Telephone 5032308973
Authorized Official Credential L.AC.
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifiers

Identifier State Issuer Type Code
1700818069 INDIVIDUAL Other

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address (email address) 111 Ne Jessup St, Portland, OR 972112517 Direct Other other

Office Location

Street Address 111 NE JESSUP ST
State OR
Zip Code 97211-2517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700818069 Ellen Goldsmith Acupuncturist 111 Ne Jessup St, Portland, OR 97211-2517 2006-07-07

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1073081246 Fetuao Turner Pharmacist 5329 Ne Mlk Jr Blvd, Second Floor/Pharmacy, Portland, OR 97211 2018-11-06
1073014601 Kelli Minton Behavior Technician 7035 Ne 9th Ave, Portland, OR 97211 2018-02-28
1508454026 Nastja Rebrin Pharmacy - Institutional Pharmacy 1105 Ne Meadow Dr, Portland, OR 97211-1215 2021-01-10
1801490263 Sharice Burnett, Lcsw, LLC Social Worker - Clinical 9437 Ne Blue Heron Ct, Portland, OR 97211-1688 2020-11-25
1730739574 Lindsay B Jordan Occupational Therapy Assistant 3417 Ne Marine Dr # Hb-02, Portland, OR 97211-2121 2019-09-13
1609483064 Alayna Louise Hutchinson Dietitian, Registered 5258 Ne Cleveland Ave, Portland, OR 97211-2614 2020-09-29
1487125449 1 Care Transit LLP Non-emergency Medical Transport (VAN) 326 Ne Russet St Apt 14, Portland, OR 97211-2852 2018-12-16
1245744424 Samantha Nicole Hignell-Stark Massage Therapist 510 Ne Dekum St, Portland, OR 97211-2926 2017-11-26
1053930065 Verenis Estrada Naturopath 5116 Ne Garfield Ave, Portland, OR 97211-3214 2020-04-09
1598223919 Portland Modern Dentistry Dentist 5175 Ne Martin Luther King Blvd Ste 110, Portland, OR 97211-3233 2019-03-05
Find all providers in zip 97211

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548849813 Mcjv Medical Partners, LLC Clinic/Center 616 Elm St, Portland, TX 78374-1714 2021-04-05
1811572860 Another Chance Clinical Services LLC Clinic/Center 12670 Nw Barnes Rd Ste 200, Portland, OR 97229-9001 2021-03-11
1760076392 Acg Group LLC · The Lilith Clinic Clinic/Center 511 Sw 10th Ave Ste 904, Portland, OR 97205-2710 2021-02-24
1003410150 Jenna Halbert, Nd LLC Clinic/Center 333 Ne Russell St Ste 207, Portland, OR 97212-3763 2020-11-29
1801413240 Gfm LLC Clinic/Center 1235 Se Division St Ste 114, Portland, OR 97202-1042 2020-07-01
1053938787 Roseanne Lawrence Massage LLC Clinic/Center 1820 Sw Vermont St, Portland, OR 97219-1945 2020-06-29
1134750037 Legacy Good Samaritan Hospital and Medical Center Clinic/Center 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 2020-01-29
1114561735 Connective Therapy Collective · Connective Therapy Collective Clinic/Center 4531 Se Belmont St Ste 117, Portland, OR 97215-1675 2019-11-06
1679030290 Yoana Kanev Clinic/Center 3701 Sw Condor Ave Apt C1, Portland, OR 97239-4158 2019-03-01
1841760584 Orthopedic Needle LLC Clinic/Center 328 Ne Failing St Ste C, Portland, OR 97212-1157 2018-11-26
Find all providers in PORTLAND


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Zip Code 97211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.