NPIMap

Organization Active NPI

Pearl Health Center,PC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1104918275
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
363LFOOOOX Issued in OR
Legal business name
PEARL HEALTH CENTER,PC
Practice address
721 NW 9TH Ave Ste 100a
Portland, OR 97209-3477
Phone
(503) 525-0090
Fax
(971) 244-0219
NPI assigned
Sep 28, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Shari S Freshman House, FNPNPI 1417992579
Title
President,Nurse Practitioner
Phone
(503) 525-0090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OR
Primary Care Clinic/Center 261QP2300X 363LFOOOOX OR Primary

Addresses

Primary practice location

721 NW 9TH Ave Ste 100a
Portland, OR 97209-3477

Mailing address

721 NW 9TH Ave Ste 100a
Portland, OR 97209-3477
Phone (503) 525-0090

Other identifiers 1

IdentifierTypeStateIssuer
027741MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041209001096 OR Part B Supplier - Clinic/Group Practice 0143287243 Receives reassigned benefits from 16 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

721 NW 9th Ave
Portland, OR 97209

721 NW 9th Ave
Ste 100A
Portland, OR 97209
Phone (503) 525-0090

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104918275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NW 9TH AVE STE 100A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093477",
            "telephone_number": "503-525-0090",
            "fax_number": "971-244-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NW 9TH AVE STE 100A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093477",
            "telephone_number": "503-525-0090",
            "fax_number": "971-244-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL HEALTH CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FRESHMAN HOUSE",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT,NURSE PRACTITIONER",
        "authorized_official_telephone_number": "503-525-0090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "363LFOOOOX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027741",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.