Organization Active NPI

Pearl Health Partners, LLC

  • Surgery Physician
  • Portland, OR
National Provider Identifier
1053987222
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PEARL HEALTH PARTNERS, LLC
Practice address
120 NW 14TH Ave Ste 200
Portland, OR 97209-2642
Phone
(503) 820-0902
Fax
(503) 820-0902
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Brian Rosenfield, MD
Title
Chief Medical Officer
Phone
(503) 803-7971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

120 NW 14TH Ave Ste 200
Portland, OR 97209-2642

Mailing address

120 NW 14TH Ave Ste 200
Portland, OR 97209-2642
Phone (503) 820-0902

Other names 1

  • Pearl Precision Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1053987222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NW 14TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092642",
            "telephone_number": "503-820-0902",
            "fax_number": "503-820-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NW 14TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092642",
            "telephone_number": "503-820-0902",
            "fax_number": "503-820-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "ROSENFIELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "503-803-7971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Precision Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.